Pedi Group,PA

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

25MA06092500 Issued in NJ

Legal business name

PEDI GROUP,PA

Practice address

2695 County Road 516
Browntown Shopping Center
Old Bridge, NJ 08857-2319

Phone

(732) 679-6650

Fax

(732) 679-6620

NPI assigned

Dec 8, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Leon Bautista Mesina, M.D.

Title

VP

Phone

(732) 679-6650

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790845113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2695 COUNTY ROAD 516",
            "address_2": "BROWNTOWN SHOPPING CENTER",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572319",
            "telephone_number": "732-679-6650",
            "fax_number": "732-679-6620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2695 COUNTY ROAD 516",
            "address_2": "BROWNTOWN SHOPPING CENTER",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572319",
            "telephone_number": "732-679-6650",
            "fax_number": "732-679-6620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDI GROUP,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MESINA",
        "authorized_official_first_name": "LEON",
        "authorized_official_middle_name": "BAUTISTA",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "732-679-6650",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA06034900",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA06092500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6224903",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6186301",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ravindra Patel, MD
• Reema Arpit Patel, M.D, FACE
• Rushi Satishbhai Patel, MD
• Alla Pavlushkin, DDS
• Megan Pawlowski, PA-C
• Pediatric and Adolescent Associates of Central NJ
• Dorota Pelszynski
• Pennreach
• Pennreach
• Pennreach

• Pediatrics Physician in Old Bridge, NJ
• Providers in Old Bridge, 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 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.