Organization Active NPI

New Pediatric Associates LLC

  • Primary Care Clinic/Center
  • Merrillville, IN
National Provider Identifier
1225144728
Registry record updated Nov 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
01046051A Issued in IN
Legal business name
NEW PEDIATRIC ASSOCIATES LLC
Practice address
7863 Broadway
Suite 140
Merrillville, IN 46410-5553
Phone
(219) 795-1660
Fax
(219) 795-1630
NPI assigned
Aug 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2008

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

Authorized official

Name
Zuhair Alsakaji
Title
Director
Phone
(219) 795-1660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 01046051A IN Primary

Addresses

Primary practice location

7863 Broadway
Suite 140
Merrillville, IN 46410-5553

Mailing address

7863 Broadway
Suite 140
Merrillville, IN 46410-5553
Phone (219) 795-1660

Other identifiers 4

IdentifierTypeStateIssuer
90001185OtherBLUE CROSS OF ILLINOIS
200207090MedicaidIN
000000338446OtherANTHEM
036094958MedicaidIL

National Provider Directory

National Provider Directory

Locations

7863 Broadway
Ste 140
Merrillville, IN 46410
Phone (219) 769-3678

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225756800000",
    "number": "1225144728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7863 BROADWAY",
            "address_2": "SUITE 140",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464105553",
            "telephone_number": "219-795-1660",
            "fax_number": "219-795-1630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7863 BROADWAY",
            "address_2": "SUITE 140",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464105553",
            "telephone_number": "219-795-1660",
            "fax_number": "219-795-1630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW PEDIATRIC ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2008-11-04",
        "status": "A",
        "authorized_official_last_name": "ALSAKAJI",
        "authorized_official_first_name": "ZUHAIR",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "219-795-1660"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IN",
            "license": "01046051A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF ILLINOIS",
            "identifier": "90001185",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200207090",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000338446",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036094958",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2008; 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.