Organization Active NPI

Pediatric Associates of West Essex, P.a.

  • Pediatrics Physician
  • West Caldwell, NJ
National Provider Identifier
1801957287
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA02390700 Issued in NJ
Legal business name
PEDIATRIC ASSOCIATES OF WEST ESSEX, P.A.
Practice address
1129 Bloomfield Ave
Suite 100
West Caldwell, NJ 07006-7127
Phone
(973) 575-8585
Fax
(973) 882-6914
NPI assigned
Dec 12, 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. Joel Steckelman, MD
Title
Secretary Treasurer
Phone
(973) 575-8585

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 25MA02390700 NJ Primary

Addresses

Primary practice location

1129 Bloomfield Ave
Suite 100
West Caldwell, NJ 07006-7127

Mailing address

1129 Bloomfield Ave
Suite 100
West Caldwell, NJ 07006-7127
Phone (973) 575-8585

National Provider Directory

National Provider Directory

Locations

1129 Bloomfield Ave
Ste 100
West Caldwell, NJ 07006
Phone (973) 429-6864

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801957287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1129 BLOOMFIELD AVE",
            "address_2": "SUITE 100",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070067127",
            "telephone_number": "973-575-8585",
            "fax_number": "973-882-6914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 BLOOMFIELD AVE",
            "address_2": "SUITE 100",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070067127",
            "telephone_number": "973-575-8585",
            "fax_number": "973-882-6914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ASSOCIATES OF WEST ESSEX, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STECKELMAN",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "SECRETARY TREASURER",
        "authorized_official_telephone_number": "973-575-8585",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA02390700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Caldwell, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.