Active NPI
Woodland Park Pediatrics PC
- Pediatrics Physician
- Woodland Park, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- WOODLAND PARK PEDIATRICS PC
- Practice address
- 214 Lackawanna Ave
Woodland Park, NJ 07424-2976 - Phone
- (973) 582-0644
- Fax
- (973) 580-0605
- NPI assigned
- May 28, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mannan Razzak, MD
- Title
- President
- Phone
- (973) 582-0644
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Psychologist | 103TF0000X | |||
| Clinical Social Worker | 1041C0700X | NJ | ||
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
214 Lackawanna Ave
Woodland Park, NJ 07424-2976
Mailing address
214 Lackawanna Ave
Woodland Park, NJ 07424-2976
Phone (973) 582-0644
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0227927 | Medicaid | NJ |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D2004053 | Woodland Park Pediatrics PC | Certificate of waiver | Feb 23, 2028 |
National Provider Directory
National Provider DirectoryLocations
214 Lackawanna Ave
Woodland Park, NJ 07424
205 Browertown Rd
Ste 1
Woodland Park, NJ 07424
Phone (973) 582-0644
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Woodland Park, NJ
- NPI 1083640627
-
- Pediatrics Physician
- Woodland Park, NJ
- NPI 1710167184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275004800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785196800000",
"number": "1134448178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 LACKAWANNA AVE",
"city": "WOODLAND PARK",
"state": "NJ",
"postal_code": "074242976",
"telephone_number": "973-582-0644",
"fax_number": "973-580-0605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 LACKAWANNA AVE",
"city": "WOODLAND PARK",
"state": "NJ",
"postal_code": "074242976",
"telephone_number": "973-582-0644",
"fax_number": "973-580-0605"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOODLAND PARK PEDIATRICS PC",
"organizational_subpart": "NO",
"enumeration_date": "2010-05-28",
"last_updated": "2026-07-28",
"certification_date": "2026-07-28",
"status": "A",
"authorized_official_last_name": "RAZZAK",
"authorized_official_first_name": "MANNAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "973-582-0644",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "103TF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0227927",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Woodland Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.