MONTCLAIR PEDIATRIC GROUP – NPI #1174911747
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

MONTCLAIR PEDIATRIC GROUP is a provider located in MONTCLAIR, NJ. NPPES has assigned the NPI number 1174911747 to MONTCLAIR PEDIATRIC GROUP on January 05, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MONTCLAIR PEDIATRIC GROUP” is a dba name, the actual legal business name for this organization is PRIMARY CARE PARTNERS, LLC. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MONTCLAIR PEDIATRIC GROUP below.

NPI Profile for
PRIMARY CARE PARTNERS, LLC

NPI Number
1174911747
Enumeration Date

(more than 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PRIMARY CARE PARTNERS, LLC
Doing Business As (dba): MONTCLAIR PEDIATRIC GROUP
Primary location
73 PARK ST
MONTCLAIR, NJ 07042-2903
Phone: (973) 746-7375 Fax: (973) 746-6772
Mailing address
PO BOX 2403
VOORHEES, NJ 08043-6403
Phone: (856) 782-3300 Fax: (856) 504-8029
Organization Subpart
No
Authorized Official
DAVID SHULKIN
PRESIDENT
Phone: (856) 782-3300
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.