Pedicatric Care Center LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PEDICATRIC CARE CENTER LLC

Practice address

132 Washington Ave
Belleville, NJ 07109-2926

Phone

(973) 450-0624

Fax

(973) 450-0626

NPI assigned

Mar 28, 2022

Last updated

Jul 13, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Dalia Pando, MDNPI 1376537100

Title

Owner

Phone

(201) 618-2161

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Dalia Pando, MD

  • Pediatrics Physician
  • Belleville, NJ
  • NPI 1376537100
  NPD Authorized official
• Theresa Reed, DNP, APN, ENP,FNP-BC

  • Family Nurse Practitioner
  • East Orange, NJ
  • NPI 1093222135

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1648425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689206400000",
    "number": "1285384545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 WASHINGTON AVE",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071092926",
            "telephone_number": "973-450-0624",
            "fax_number": "973-450-0626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 WASHINGTON AVE",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071092926",
            "telephone_number": "973-450-0624",
            "fax_number": "973-450-0626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDICATRIC CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-28",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A",
        "authorized_official_last_name": "PANDO",
        "authorized_official_first_name": "DALIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-618-2161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7839804",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sneha Patel
• Danielle Patterson, OTR/L
• Joanny Paulino
• Jimmy Martins Paulo, MD
• Pectus Services LLC
• Ana I Peguero Perez
• Caridad D. Peguero, MS, CCC-SLP
• Susana Pereira, APN
• Sophia Rose Perez
• Yaniset Perez

• Pediatrics Physician in Belleville, NJ
• Providers in Belleville, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; 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.