Pediatrics A1, LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

25MA06245800 Issued in NJ

Legal business name

PEDIATRICS A1, LLC

Practice address

2775 Kennedy Blvd
Jersey City, NJ 07306-5515

Phone

(201) 222-7899

NPI assigned

Nov 24, 2010

Organization subpart

No

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

Authorized official

Name

Nagi I Eltemsah, MD

Title

Owner

Phone

(201) 222-7899

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Abaid Ullah Anwar Choudry, MD

  • Internal Medicine Physician
  • Jersey City, NJ
  • NPI 1235246588
  NPD (past)
• Muhammad Abu-Bakr Choudry, M.D.

  • Family Medicine Physician
  • Jersey City, NJ
  • NPI 1396828109

  Clinic/Center

  NPD (past)

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

{
    "created_epoch": "1290556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306368000000",
    "number": "1831491885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2775 KENNEDY BLVD",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073065515",
            "telephone_number": "201-222-7899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2775 KENNEDY BLVD",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073065515",
            "telephone_number": "201-222-7899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRICS A1, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-24",
        "last_updated": "2011-05-26",
        "status": "A",
        "authorized_official_last_name": "ELTEMSAH",
        "authorized_official_first_name": "NAGI",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-222-7899",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA06245800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7082304",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pedi Practices
• Pediatric Clinic of North Jersey
• Pediatric Home PT LLC
• Pediatric Practice
• Pediatric Therapy Resources, LLC
• Deborah Pedoeem
• Victoria S Pedoeem, D.D.S.
• Marquise Peel, ATC
• Pei Lin, MD
• Alicia Pelingon

• Pediatrics Physician in Jersey City, NJ
• Providers in Jersey City, 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 May 26, 2011; 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.