Pediatric Associates of Paterson

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MA62740 Issued in NJ

Legal business name

PEDIATRIC ASSOCIATES OF PATERSON

Practice address

675 Broadway
Paterson, NJ 07514-1444

Phone

(973) 523-1213

Fax

(973) 881-7661

NPI assigned

Mar 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Abraham Thomas, MD

Title

President

Phone

(973) 523-1213

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380067200000",
    "number": "1689704306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 BROADWAY",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075141444",
            "telephone_number": "973-523-1213",
            "fax_number": "973-881-7661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 BROADWAY",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075141444",
            "telephone_number": "973-523-1213",
            "fax_number": "973-881-7661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ASSOCIATES OF PATERSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2013-09-25",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "ABRAHAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-523-1213",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "MA62740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2821001",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul F Fulford PHD PA
• Paul F Fulford PHD PA
• Pedro R Paulino
• PB Pharmacy
• Donna A Pearce, M.D.
• Diana I Pekisheva, PSYCH NP
• Michael Alexander Pelidis, MD
• Kim Pellegrino, RPH
• Carlos Lenin Pena Diaz, SA-C
• Joseph Albert Pena, M.D.

• Pediatrics Physician in Paterson, NJ
• Providers in Paterson, 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 Sep 25, 2013; 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.