Provider Demographics
NPI:1235388638
Name:HUDSON PEDIATRICS CORP.
Entity Type:Organization
Organization Name:HUDSON PEDIATRICS CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NABEEL
Authorized Official - Middle Name:M
Authorized Official - Last Name:NAJIB
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-662-1520
Mailing Address - Street 1:6914 JACKSON ST
Mailing Address - Street 2:
Mailing Address - City:GUTTENBERG
Mailing Address - State:NJ
Mailing Address - Zip Code:07093-1856
Mailing Address - Country:US
Mailing Address - Phone:201-622-1520
Mailing Address - Fax:201-622-8938
Practice Address - Street 1:6914 JACKSON ST
Practice Address - Street 2:
Practice Address - City:GUTTENBERG
Practice Address - State:NJ
Practice Address - Zip Code:07093-1856
Practice Address - Country:US
Practice Address - Phone:201-622-1520
Practice Address - Fax:201-622-8938
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HUDSON PEDIATRICS CORP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-09-10
Last Update Date:2012-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
No207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7639601Medicaid
155499Medicare PIN
NJ7639601Medicaid