Pediaric Center 2000 Inc

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

25MA06060600 Issued in NJ

Legal business name

PEDIARIC CENTER 2000 INC

Practice address

571 N 6TH St
Newark, NJ 07107-2501

Phone

(973) 485-5401

Fax

(973) 485-1536

NPI assigned

Apr 3, 2009

Organization subpart

No

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

Authorized official

Name

Jesus Ruben Ortega, MDNPI 1386706083

Title

President

Phone

(973) 484-5401

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jesus Ruben Ortega, M.D

  • Registered Nurse
  • Newark, NJ
  • NPI 1386706083
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1238716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238716800000",
    "number": "1215179312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1079 PLEASANT VALLEY WAY",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521418",
            "telephone_number": "973-485-5401",
            "fax_number": "973-485-1536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "571 N 6TH ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071072501",
            "telephone_number": "973-485-5401",
            "fax_number": "973-485-1536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIARIC CENTER 2000 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-03",
        "last_updated": "2009-04-03",
        "status": "A",
        "authorized_official_last_name": "ORTEGA",
        "authorized_official_first_name": "JESUS",
        "authorized_official_middle_name": "RUBEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-484-5401",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NJ",
            "license": "25MA06060600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6164102",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peak Chiropractic & Wellness LLC
• Peak Chiropractic & Wellness LLC
• Peak Performance Physical Therapy
• Josie Pearlman
• Sudeep Peddireddy, MD
• Pediatric Hospital Associates, P.a.
• Helio F Pedro, M.D.
• Peers Understanding Strategies for Healing & Help
• Idalissie Altagracia Peguero, APN, PMHNPBC
• Stephanie Peguero, RN

• Pediatric Adolescent Medicine Physician in Newark, NJ
• Providers in Newark, NJ by specialty
• Pediatric Adolescent Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.