| Pedi Practices | |
|
127 Palisade Ave Jersey City NJ 07306-1101 | |
| (201) 217-1000 | |
| (201) 217-3118 |
| Full Name | Pedi Practices |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 127 Palisade Ave, Jersey City, New Jersey |
| Authorized Official Name and Position | Tayyaba K Malik (CEO/ SOLER OWNER) |
| Authorized Official Contact | 2012171000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pedi Practices 127 Palisade Ave Jersey City NJ 07306-1101 Ph: (201) 217-1000 | Pedi Practices 127 Palisade Ave Jersey City NJ 07306-1101 Ph: (201) 217-1000 |
| NPI Number | 1811232762 |
|---|---|
| Provider Enumeration Date | 12/04/2012 |
| Last Update Date | 04/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811232762 | NPI | - | NPPES |
| 491427 | Other | NJ | AETNA |
| 001 | Other | NJ | PRUDENTIAL |
| 551491 | Other | NJ | EMPIRE BLUE CROSS BLUE SHIELD |
| 2K3441 | Medicaid | NJ | |
| 2697096 | Other | NJ | GHI |
| HUL00007402 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | MA060432 (New Jersey) | Primary |
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