OLD TAPPAN MEDICAL GROUP, PA – NPI #1912916693
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.
OLD TAPPAN MEDICAL GROUP, PA is a provider located in OLD TAPPAN, NJ. NPPES has assigned the NPI number 1912916693 to OLD TAPPAN MEDICAL GROUP, PA on August 05, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.
The NPI profile was last updated on Sep 11, 2025. 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 OLD TAPPAN MEDICAL GROUP, PA below.
NPI Profile for
OLD TAPPAN MEDICAL GROUP, PA
(about 20 years ago)
OLD TAPPAN, NJ 07675-7000 Phone: (201) 666-1000 Fax: (201) 666-7610
PRESIDENT
Phone: (201) 666-1000
Identifiers for OLD TAPPAN MEDICAL GROUP, PA
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| other | AETNA CAPITATION NUMBER | 087710 | |
| other | AETNA CAPITATION NUMBER | 3695 | |
| medicaid | NJ | 2672901 |
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) |
||
| 207R00000X - Internal Medicine |
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.