Eastside Pediatrics LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

EASTSIDE PEDIATRICS LLC

Practice address

625 Broadway
1St Floor
Paterson, NJ 07514-1977

Phone

(973) 523-1102

Fax

(973) 523-7309

NPI assigned

Nov 11, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Mercedes Lesesne, M.D.NPI 1811938293

Title

Physician

Phone

(973) 523-1102

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Mercedes Lesesne, M.D.

  • Pediatric Adolescent Medicine Physician
  • Paterson, NJ
  • NPI 1811938293
  NPD (past) Authorized official
• Olutope O Ayodeji, M.D.

  • Pediatrics Physician
  • Paterson, NJ
  • NPI 1972714004

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1289433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289433600000",
    "number": "1982905626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 BROADWAY",
            "address_2": "1ST FLOOR",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075141977",
            "telephone_number": "973-523-1102",
            "fax_number": "973-523-7309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 BROADWAY",
            "address_2": "1ST FLOOR",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075141977",
            "telephone_number": "973-523-1102",
            "fax_number": "973-523-7309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTSIDE PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-11",
        "last_updated": "2010-11-11",
        "status": "A",
        "authorized_official_last_name": "LESESNE",
        "authorized_official_first_name": "MERCEDES",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "973-523-1102",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lillian Sara Easaw, LCSW
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• Echo Care LLC
• Echo Medical Transportation Services
• Edgar R. Mejia MD PA
• Dominique C Edwards, DOULA
• Peggy Eicher, M.D.

• All providers in Paterson, NJ
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.