Organization Active NPI

Plaza Pediatrics, PC

  • Pediatrics Physician
  • North Brunswick, NJ
National Provider Identifier
1619054749
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MA065260 Issued in NJ
Legal business name
PLAZA PEDIATRICS, PC
Practice address
1950 State Route 27
Suite HH
North Brunswick, NJ 08902-1300
Phone
(732) 940-5511
Fax
(732) 940-0530
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dina Wassef Hanna, M.D.
Title
Physician
Phone
(732) 940-5511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X MA065260 NJ Primary

Addresses

Primary practice location

1950 State Route 27
Suite HH
North Brunswick, NJ 08902-1300

Mailing address

1950 State Route 27
Suite HH
North Brunswick, NJ 08902-1300
Phone (732) 940-5511

National Provider Directory

National Provider Directory

Locations

1950 State Route 27
Ste Hh
North Brunswick, NJ 08902
Phone (732) 940-5511

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1619054749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 STATE ROUTE 27",
            "address_2": "SUITE HH",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089021300",
            "telephone_number": "732-940-5511",
            "fax_number": "732-940-0530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 STATE ROUTE 27",
            "address_2": "SUITE HH",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089021300",
            "telephone_number": "732-940-5511",
            "fax_number": "732-940-0530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAZA PEDIATRICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HANNA",
        "authorized_official_first_name": "DINA",
        "authorized_official_middle_name": "WASSEF",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "732-940-5511",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "MA065260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.