NPIMap

Organization Active NPI

Sparta Pediatrics, LLC

  • Primary Care Clinic/Center
  • Sparta, NJ
National Provider Identifier
1669706941
Registry record updated Sep 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
25MA07459800 Issued in NJ
Legal business name
SPARTA PEDIATRICS, LLC
Practice address
106 Main St
Sparta, NJ 07871-1912
Phone
(973) 729-7400
Fax
(973) 729-2201
NPI assigned
Sep 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2009

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

Authorized official

Name
Dr. Louis Jacobson, M.D.NPI 1376625145
Title
Owner/Partner
Phone
(973) 729-7400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 25MA07459800 NJ Primary

Addresses

Primary practice location

106 Main St
Sparta, NJ 07871-1912

Mailing address

106 Main St
Sparta, NJ 07871-1912
Phone (973) 729-7400

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1253404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253404800000",
    "number": "1669706941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 MAIN ST",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078711912",
            "telephone_number": "973-729-7400",
            "fax_number": "973-729-2201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 MAIN ST",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078711912",
            "telephone_number": "973-729-7400",
            "fax_number": "973-729-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARTA PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-20",
        "last_updated": "2009-09-20",
        "status": "A",
        "authorized_official_last_name": "JACOBSON",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "973-729-7400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NJ",
            "license": "25MA07459800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparta, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2009; 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.