Azzariti, Kolsky Pedimedica PA

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

25MA06103000 Issued in NJ

Legal business name

AZZARITI, KOLSKY PEDIMEDICA PA

Practice address

870 Palisade Ave
Teaneck, NJ 07666-3419

Phone

(201) 692-1661

Fax

(201) 692-9219

NPI assigned

Aug 9, 2005

Last updated

Aug 4, 2008By 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. George M. Azzariti, MDNPI 1386646768

Title

President

Phone

(201) 291-2323

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• George Michael Azzariti, MD

  • Pediatrics Physician
  • Rochelle Park, NJ
  • NPI 1386646768
  NPD (past) Authorized official

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217808000000",
    "number": "1841291242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 PALISADE AVE",
            "address_2": "STE 204",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076663419",
            "telephone_number": "201-692-1661",
            "fax_number": "201-692-9219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 PALISADE AVE",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076663419",
            "telephone_number": "201-692-1661",
            "fax_number": "201-692-9219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZZARITI, KOLSKY PEDIMEDICA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2008-08-04",
        "status": "A",
        "authorized_official_last_name": "AZZARITI",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-291-2323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA06103000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "628804",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Awca Home Care Agency, Inc.
• Awca Homecare Agency
• Mawulawoe Awudza, LPN
• Ramses Federico Ayala, PHYSICIAN ASSISTANT
• Adrian Dejesus Azarraga, MD
• Virginia Azzariti, CPNP
• B-Line Counseling LLC
• B&B Medical Specialties, Inc.
• B&C Enterprises, LLC
• Rahima Babury, MD

• Pediatrics Physician in Teaneck, NJ
• Providers in Teaneck, 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 4, 2008; 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.