Pediatrics on Broadway

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

Legal business name

PEDIATRICS ON BROADWAY

Practice address

10 Broadway
Denville, NJ 07834-2704

Phone

(973) 625-7734

Fax

(973) 625-4821

NPI assigned

Apr 6, 2007

Last updated

Aug 22, 2020By 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

Dr. Richard Dicker, MDNPI 1154436863

Title

President

Phone

(973) 625-7734

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Richard I Dicker, M.D.

  • Pediatric Adolescent Medicine Physician
  • Denville, NJ
  • NPI 1154436863
  Authorized official Same address or phone

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811019995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 BROADWAY",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078342704",
            "telephone_number": "973-625-7734",
            "fax_number": "973-625-4821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 BROADWAY",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078342704",
            "telephone_number": "973-625-7734",
            "fax_number": "973-625-4821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRICS ON BROADWAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DICKER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-625-7734",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ildiko Paulovits, OT
• Denise E Paulson, PSY.D.
• Pca-LTC Pharmacy
• Pediatric Associates of Morris
• Pediatric Care of Morris LLC
• Hugo Andres Perez Ramon, MD
• Leigh Danielle Perlmutter, D.M.D.
• Lawrence M Peters, DC
• Megan Grace Piersanti, DNP, APN
• Maryann B Pillarella, LCSW

• Pediatric Adolescent Medicine Physician in Denville, NJ
• Providers in Denville, NJ by specialty
• Pediatric Adolescent Medicine 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.
• 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.