Pediatric Health Center, LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

25MA07239500 Issued in NJ

Legal business name

PEDIATRIC HEALTH CENTER, LLC

Practice address

54 Plauderville Ave Ste 3
Garfield, NJ 07026-2252

Phone

(973) 772-0262

Fax

(973) 772-0265

NPI assigned

Jan 8, 2018

Last updated

Jan 8, 2018By 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. Alicja Teresa Uczkowska, MDNPI 1245288091

Title

MD

Phone

(973) 772-0262

Specialties & licenses 1

Addresses

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.

• Alicja T Uczkowska, MD

  • Pediatrics Physician
  • Garfield, NJ
  • NPI 1245288091
  NPD (past) Authorized official
• Joanna Enriquez, APN

  • Family Nurse Practitioner
  • Garfield, NJ
  • NPI 1366822744
  NPD (past)

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

{
    "created_epoch": "1515369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515369600000",
    "number": "1326555749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 PLAUDERVILLE AVE STE 3",
            "city": "GARFIELD",
            "state": "NJ",
            "postal_code": "070262252",
            "telephone_number": "973-772-0262",
            "fax_number": "973-772-0265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 PLAUDERVILLE AVE STE 3",
            "city": "GARFIELD",
            "state": "NJ",
            "postal_code": "070262252",
            "telephone_number": "973-772-0262",
            "fax_number": "973-772-0265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC HEALTH CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-08",
        "last_updated": "2018-01-08",
        "status": "A",
        "authorized_official_last_name": "UCZKOWSKA",
        "authorized_official_first_name": "ALICJA",
        "authorized_official_middle_name": "TERESA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "973-772-0262",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA07239500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ji Young Park, PHARMD
• So Yeun Park, PHARMD
• Passionate Care
• Mudra Patel
• Noelia Carolina Payano, MSN, RN, CSN
• Peter Perrone, MD,DC
• Carl Hendrix Perry Jr., LCSW
• Marta Pisinska, DDS
• Poblete Medical Practice, PC
• Polmed Comfort LLC

• Pediatrics Physician in Garfield, NJ
• Providers in Garfield, 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 Jan 8, 2018; 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.