Pediatric Family Health Center LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

25MA07239500 Issued in NJ

Legal business name

PEDIATRIC FAMILY HEALTH CENTER LLC

Practice address

10 Moran St
Newton, NJ 07860-1806

Phone

(973) 940-0407

Fax

(973) 579-0016

NPI assigned

Oct 8, 2014

Last updated

Feb 5, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Alicja T Uczkowska, M.D.

Title

Representative

Phone

(973) 726-0565

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1412726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454630400000",
    "number": "1790188472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 WEST MOUNTAIN RD.",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078711003",
            "telephone_number": "973-726-0565",
            "fax_number": "974-579-0016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MORAN ST",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078601806",
            "telephone_number": "973-940-0407",
            "fax_number": "973-579-0016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC FAMILY HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-08",
        "last_updated": "2016-02-05",
        "status": "A",
        "authorized_official_last_name": "UCZKOWSKA",
        "authorized_official_first_name": "ALICJA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "REPRESENTATIVE",
        "authorized_official_telephone_number": "973-726-0565",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA07239500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HACKENSACK UNIVERSITY MEDICAL CENTAR",
            "identifier": "145746279",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0480690",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Elliott Pattison
• Anne Paulsen
• Adam M Paxton, MD
• Ewelina Pazmino, PMHNP-BC, APN
• Theresa M Pedernera, LCSW, LCADC
• Pete Perdikos
• Valerie Page Perdue, PHD
• Harold S. Perlmutter, MD
• Mark Perrin, M.D.
• Perrotti Chiropractic LLC

• Pediatrics Physician in Newton, NJ
• Providers in Newton, 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 Feb 5, 2016; 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.