Pedi-Care Corp

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

PEDI-CARE CORP

Doing business as

PEDICARE ORTHOTICS & PROSTHETICS

Practice address

1086 Teaneck Rd Ste 3F1
Teaneck, NJ 07666-4855

Phone

(201) 666-6647

Fax

(201) 676-8828

NPI assigned

Jan 29, 2019

Organization subpart

No

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

Authorized official

Name

Raizel Rosenberg

Title

President

Phone

(732) 415-2318

Specialties & licenses 2

Addresses

Other names 1

• PEDICARE ORTHOTICS & PROSTHETICS Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Pedi-Care Corp

  • Prosthetic/Orthotic Supplier
  • Lakewood, NJ
  • NPI 1467757591

  7810143211

  Same PAC ID

Locations

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

{
    "created_epoch": "1548720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1376007898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1352 RIVER AVE STE 4",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015646",
            "telephone_number": "732-415-2318",
            "fax_number": "732-584-2786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1086 TEANECK RD STE 3F1",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664855",
            "telephone_number": "201-666-6647",
            "fax_number": "201-676-8828"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1352 River Ave Ste 4",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "NJ",
            "postal_code": "08701",
            "country_code": "US",
            "telephone_number": "732-415-2318",
            "fax_number": "732-584-2786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PEDI-CARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-29",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A",
        "authorized_official_last_name": "ROSENBERG",
        "authorized_official_first_name": "RAIZEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-415-2318"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PEDICARE ORTHOTICS & PROSTHETICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bianca M Paulino
• Daniel Payson, CNIM
• Peace Health Partners, PC
• Keisha Pearson, LSW
• Pavani Peddi, MD
• Pediatric Occupational Therapy Services, LLC
• Pediatrics on Demand
• Gemma T. Pedraza-Hetalia, PT
• Robert Michael Peller, PH.D.
• David J Penn, P.A

• Prosthetic/Orthotic Supplier in Teaneck, NJ
• Providers in Teaneck, NJ by specialty
• Prosthetic/Orthotic Supplier in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.