Ironbound Pediatrics PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

IRONBOUND PEDIATRICS PC

Practice address

155 Jefferson St
LL Ste 3
Newark, NJ 07105-1706

Phone

(973) 466-0300

Fax

(973) 466-1777

NPI assigned

Aug 20, 2006

Organization subpart

No

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

Authorized official

Name

Normita Beltran Vicente, RN

Title

Office Manager

Phone

(973) 466-0300

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325721600000",
    "number": "1508971292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 254",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070520254",
            "telephone_number": "973-466-0300",
            "fax_number": "973-466-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 JEFFERSON ST",
            "address_2": "LL STE 3",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071051706",
            "telephone_number": "973-466-0300",
            "fax_number": "973-466-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRONBOUND PEDIATRICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2012-01-05",
        "status": "A",
        "authorized_official_last_name": "VICENTE",
        "authorized_official_first_name": "NORMITA",
        "authorized_official_middle_name": "BELTRAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "973-466-0300",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "50441",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0050432",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "2353177001",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ironbound Medical Services, LLC
• Ironbound MRI, LLC
• Ironbound Newark Medical PC
• Ironbound OBGYN. LLC
• Ironbound Optical
• Ironbound Physical Therapy & Wellness
• Ironbound Physical Therapy LLC
• Ironbound Spine & Rehabilitation Center
• Irvin Goldfarb, MD, PA
• Avron Isaac, LCSW

• Pediatrics Physician in Newark, NJ
• Providers in Newark, 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 5, 2012; 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.