NPIMap

Organization Active NPI

Pediatricare Associates

  • Pediatrics Physician
  • Fair Lawn, NJ
National Provider Identifier
1699700526
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA04408800 Issued in NJ
Legal business name
PEDIATRICARE ASSOCIATES
Practice address
20-20 Fair Lawn Avenue
Fair Lawn, NJ 07410
Phone
(201) 791-4545
Fax
(201) 791-8709
NPI assigned
Jul 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Scott W ZuckerNPI 1285697748
Title
Physician Partner
Phone
(201) 791-4545

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
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 25MA04408800 NJ Primary

Addresses

Primary practice location

20-20 Fair Lawn Avenue
Fair Lawn, NJ 07410

Mailing address

20-20 Fair Lawn Avenue
Fair Lawn, NJ 07410
Phone (201) 791-4545

Other identifiers 1

IdentifierTypeStateIssuer
5222206MedicaidNJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D0109932Pediatricare Associates20-20 Fairlawn Ave, Fair Lawn, NJ 07410Certificate of waiverDec 22, 2027

National Provider Directory

National Provider Directory

Locations

901 State Rt 23
Ste 1
Pompton Plains, NJ 07444

901 State Rt 23
Pompton Plns, NJ 07444
Phone (973) 276-0094

1225 McBride Ave
Woodland Park, NJ 07424
Phone (908) 277-8699

Practitioners & affiliated clinicians

Practitioners 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699700526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20-20 FAIR LAWN AVENUE",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "07410",
            "telephone_number": "201-791-4545",
            "fax_number": "201-791-8709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20-20 FAIR LAWN AVENUE",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "07410",
            "telephone_number": "201-791-4545",
            "fax_number": "201-791-8709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRICARE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZUCKER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PHYSICIAN PARTNER",
        "authorized_official_telephone_number": "201-791-4545",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA04408800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5222206",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

  • 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.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.