Provider Demographics
NPI:1477261691
Name:PEDIATRIC ASSOCIATES OF NJ PC
Entity Type:Organization
Organization Name:PEDIATRIC ASSOCIATES OF NJ PC
Other - Org Name:HEALTHY KIDS PEDIATRIC GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHESTER
Authorized Official - Middle Name:
Authorized Official - Last Name:SLONAKER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-967-6400
Mailing Address - Street 1:300B PRINCETON HIGHTSTOWN RD STE 201
Mailing Address - Street 2:
Mailing Address - City:EAST WINDSOR
Mailing Address - State:NJ
Mailing Address - Zip Code:08520-1400
Mailing Address - Country:US
Mailing Address - Phone:609-448-7300
Mailing Address - Fax:
Practice Address - Street 1:300B PRINCETON HIGHTSTOWN RD STE 201
Practice Address - Street 2:
Practice Address - City:EAST WINDSOR
Practice Address - State:NJ
Practice Address - Zip Code:08520-1400
Practice Address - Country:US
Practice Address - Phone:609-448-7300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-07
Last Update Date:2023-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty