Organization Active NPI

Pediatrics First LLC

  • General Practice Physician
  • Clifton, NJ
National Provider Identifier
1235655077
Registry record updated Aug 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
PEDIATRICS FIRST LLC
Practice address
716 Broad St
Clifton, NJ 07013-1645
Phone
(973) 221-3122
NPI assigned
Aug 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2017

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

Authorized official

Name
Peyman Maghsoudlou
Title
Manager
Phone
(973) 773-2039

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

716 Broad St
Clifton, NJ 07013-1645

Mailing address

PO Box 706
West Paterson, NJ 07424-0706

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1502668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502668800000",
    "number": "1235655077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 706",
            "city": "WEST PATERSON",
            "state": "NJ",
            "postal_code": "074240706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 BROAD ST",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070131645",
            "telephone_number": "973-221-3122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRICS FIRST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-14",
        "last_updated": "2017-08-14",
        "status": "A",
        "authorized_official_last_name": "MAGHSOUDLOU",
        "authorized_official_first_name": "PEYMAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "973-773-2039"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2017; 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.