Organization Active NPI

Woodland Park Pediatrics PC

  • Pediatrics Physician
  • Woodland Park, NJ
National Provider Identifier
1134448178
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
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

Updated by the provider on Jul 28, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Mannan Razzak, MDNPI 1083640627
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)CodeLicenseStatePrimary
Family PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TF0000X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X NJ
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0227927MedicaidNJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2004053Woodland Park Pediatrics PC214 Lackawanna Avenue, Woodland Park, NJ 07424Certificate of waiverFeb 23, 2028

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.