NPIMap

Organization Active NPI

Pediatric Eden L.L.C.

  • Primary Care Clinic/Center
  • Millburn, NJ
National Provider Identifier
1720311855
Registry record updated May 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
MA072666 Issued in NJ
Legal business name
PEDIATRIC EDEN L.L.C.
Practice address
241 Millburn Ave
Suite B
Millburn, NJ 07041-1739
Phone
(973) 376-9000
Fax
(973) 376-7610
NPI assigned
Sep 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2013

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

Authorized official

Name
Dr. Dahlia Hall, M.D.NPI 1538158928
Title
Physician
Phone
(973) 376-9000

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 MA072666 NJ Primary

Addresses

Primary practice location

241 Millburn Ave
Suite B
Millburn, NJ 07041-1739

Mailing address

241 Millburn Ave.
Suite B
Millburn, NJ 07041
Phone (973) 376-9000

National Provider Directory

National Provider Directory

Locations

241 Millburn Ave
Ste B
Millburn, NJ 07041
Phone (973) 376-9000

Practitioners & affiliated clinicians

Practitioners 2

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": "1252368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369958400000",
    "number": "1720311855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 MILLBURN AVE.",
            "address_2": "SUITE B",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "07041",
            "telephone_number": "973-376-9000",
            "fax_number": "973-376-7610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 MILLBURN AVE",
            "address_2": "SUITE B",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411739",
            "telephone_number": "973-376-9000",
            "fax_number": "973-376-7610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC EDEN L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-08",
        "last_updated": "2013-05-31",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "DAHLIA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "973-376-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NJ",
            "license": "MA072666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millburn, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.