Roseville Pediatric Care Center, P.a.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MA034791 Issued in NJ

Legal business name

ROSEVILLE PEDIATRIC CARE CENTER, P.A.

Practice address

500 Orange St
Suite 304
Newark, NJ 07107-2944

Phone

(973) 483-5529

Fax

(973) 481-0754

NPI assigned

Feb 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ponciano Palmiery Jr., M.D.

Title

President

Phone

(973) 483-5529

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291334400000",
    "number": "1972638278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 ORANGE ST",
            "address_2": "SUITE 304",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071072944",
            "telephone_number": "973-483-5529",
            "fax_number": "973-481-0754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 ORANGE ST",
            "address_2": "SUITE 304",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071072944",
            "telephone_number": "973-483-5529",
            "fax_number": "973-481-0754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEVILLE PEDIATRIC CARE CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2010-12-03",
        "status": "A",
        "authorized_official_last_name": "PALMIERY",
        "authorized_official_first_name": "PONCIANO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-483-5529",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "MA034791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yana Rosensteyn, D.D.S.
• Roseville Health Care LLC
• Roseville Health Center Inc.
• Roseville Medical Group PA
• Roseville Medical Society LLC
• Konrad Roslonek, PT, DPT
• Joel Hilton Ross, M.D.
• Movena Ross
• Sarah Ross, MD
• Sharmaine Gabrielle Ross, MD

• Pediatrics Physician in Newark, NJ
• Providers in Newark, 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 Dec 3, 2010; 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.