Active NPI
New Brunswick Pediatric Group
- Pediatrics Physician
- North Brunswick, NJ
National Provider Identifier
1982604302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- NEW BRUNSWICK PEDIATRIC GROUP
- Practice address
- 1300 How LN
North Brunswick, NJ 08902-1721 - Phone
- (732) 247-1510
- Fax
- (732) 247-8885
- NPI assigned
- Jul 28, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Howard Ernest Wiener, MD
- Title
- Vice President
- Phone
- (732) 247-1510
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | NJ | Primary |
Addresses
Primary practice location
1300 How LN
North Brunswick, NJ 08902-1721
Mailing address
PO Box 6017
1300 How Lane
North Brunswick, NJ 08902-6017
Phone (732) 247-1510
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2645009 | Medicaid | NJ |
National Provider Directory
National Provider Directory- Tax ID family
- New Brunswick Pediatric Group
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Primary Care Clinic/Center
- North Brunswick, NJ
- NPI 1689630162
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122508800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1982604302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6017",
"address_2": "1300 HOW LANE",
"city": "NORTH BRUNSWICK",
"state": "NJ",
"postal_code": "089026017",
"telephone_number": "732-247-1510",
"fax_number": "732-247-8885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 HOW LN",
"city": "NORTH BRUNSWICK",
"state": "NJ",
"postal_code": "089021721",
"telephone_number": "732-247-1510",
"fax_number": "732-247-8885"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW BRUNSWICK PEDIATRIC GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-28",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "WIENER",
"authorized_official_first_name": "HOWARD",
"authorized_official_middle_name": "ERNEST",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "732-247-1510",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "NJ",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2645009",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Brunswick, NJ
- Brad Neilley
- Stewart E Nemser, D.C.
- Network Chiropractic of Somerset, P.C.
- New Beginnings Treatment Center
- New Beginnings Treatment Center
- New Brunswick Pediatric Group, P.a.
- New Destiny Community Counseling Center
- New Hope Counseling Center, LLC
- New Horizons Physical Therapy & Lymphedema Care LLC
- New Jersey CVS Pharmacy LLC (CVS Pharmacy #17667)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.