New Brunswick Pediatric Group, P.a.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

NEW BRUNSWICK PEDIATRIC GROUP, P.A.

Practice address

1300 How LN
North Brunswick, NJ 08902-1721

Phone

(732) 247-1510

Fax

(732) 247-8885

NPI assigned

Apr 25, 2006

Organization subpart

No

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

Authorized official

Name

Louis M Diemer, MD

Title

President

Phone

(732) 247-1510

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

New Brunswick Pediatric Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• New Brunswick Pediatric Group

  • Pediatrics Physician
  • North Brunswick, NJ
  • NPI 1982604302
  NPD tax ID

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689630162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 HOW LN",
            "address_2": "PO BOX 6017",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089021721",
            "telephone_number": "732-247-1510",
            "fax_number": "732-247-8885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 HOW LN",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089021721",
            "telephone_number": "732-247-1510",
            "fax_number": "732-247-8885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW BRUNSWICK PEDIATRIC GROUP, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DIEMER",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-247-1510",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2645009",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stewart E Nemser, D.C.
• Network Chiropractic of Somerset, P.C.
• New Beginnings Treatment Center
• New Beginnings Treatment Center
• New Brunswick Pediatric Group
• New Destiny Community Counseling Center
• New Hope Counseling Center, LLC
• New Horizons Physical Therapy & Lymphedema Care LLC
• New Jersey CVS Pharmacy LLC (CVS Pharmacy #17667)
• New Jersey CVS Pharmacy LLC (CVS Pharmacy 06034)

• Primary Care Clinic/Center in North Brunswick, NJ
• Providers in North Brunswick, NJ by specialty
• Primary Care Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.