Organization Active NPI

Hudson Pediatrics Corp.

  • Pediatrics Physician
  • Guttenberg, NJ
National Provider Identifier
1235388638
Registry record updated Oct 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
HUDSON PEDIATRICS CORP.
Practice address
6914 Jackson St
Guttenberg, NJ 07093-1856
Phone
(201) 622-1520
Fax
(201) 622-8938
NPI assigned
Sep 10, 2008
Last updated
Oct 23, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
HUDSON PEDIATRICS CORPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 23, 2012

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

Authorized official

Name
Dr. Nabeel M Najib, MDNPI 1326127879
Title
President
Phone
(201) 662-1520

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207K00000X
Pediatrics PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

6914 Jackson St
Guttenberg, NJ 07093-1856

Mailing address

6914 Jackson St
Guttenberg, NJ 07093-1856
Phone (201) 622-1520

Other identifiers 1

IdentifierTypeStateIssuer
7639601MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090716000429 NJ Part B Supplier - Clinic/Group Practice 4082766324 Receives reassigned benefits from 2 practitioners
Practice locations: Guttenberg, NJ

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
31D2288561Hudson Pediatrics6914 Jackson Street, Guttenberg, NJ 07093Certificate of waiverAug 27, 2027

National Provider Directory

National Provider Directory
Part of
Hudson Pediatrics Corp

Locations

6914 Jackson St
West New York, NJ 07093
Phone (201) 662-1520

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1221004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350950400000",
    "number": "1235388638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6914 JACKSON ST",
            "city": "GUTTENBERG",
            "state": "NJ",
            "postal_code": "070931856",
            "telephone_number": "201-622-1520",
            "fax_number": "201-622-8938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6914 JACKSON ST",
            "city": "GUTTENBERG",
            "state": "NJ",
            "postal_code": "070931856",
            "telephone_number": "201-622-1520",
            "fax_number": "201-622-8938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUDSON PEDIATRICS CORP.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HUDSON PEDIATRICS CORP",
        "enumeration_date": "2008-09-10",
        "last_updated": "2012-10-23",
        "status": "A",
        "authorized_official_last_name": "NAJIB",
        "authorized_official_first_name": "NABEEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-662-1520",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7639601",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Guttenberg, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.