Pediatric Medical Group of Central Jersey

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PEDIATRIC MEDICAL GROUP OF CENTRAL JERSEY

Practice address

525 Jack Martin Blvd
Suite 102
Brick, NJ 08724

Phone

(732) 458-1177

Fax

(732) 458-5942

NPI assigned

Sep 6, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Lionel Diaz Foz, MD

Title

President

Phone

(732) 458-1177

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306949508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 JACK MARTIN BOULEVARD",
            "address_2": "SUITE 102",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "08724",
            "telephone_number": "732-458-1177",
            "fax_number": "732-458-5942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 JACK MARTIN BLVD",
            "address_2": "SUITE 102",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "08724",
            "telephone_number": "732-458-1177",
            "fax_number": "732-458-5942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC MEDICAL GROUP OF CENTRAL JERSEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FOZ",
        "authorized_official_first_name": "LIONEL",
        "authorized_official_middle_name": "DIAZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-458-1177",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa Peace, HOME CARE
• Peaceful Solutions NJ LLC
• Michael Joseph Pecoraro, M.D.
• Valentina Suzanna Pecoraro, MD
• Pediatric Care Physicians, LLC
• Pediatric Rehabilitation Services, Inc.
• Maritza Pellegrini
• John Michael Pellegrino, MD
• Ariana J. Peluso
• Gabriela Andrea Penagos

• Pediatrics Physician in Brick, NJ
• Providers in Brick, 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 Aug 22, 2020; 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.