Provider Demographics
NPI:1578336731
Name:GLOBAL PEDIATRICS & FAMILY MEDICINE PC
Entity Type:Organization
Organization Name:GLOBAL PEDIATRICS & FAMILY MEDICINE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRACTIONER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALLA
Authorized Official - Middle Name:
Authorized Official - Last Name:GORDINA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-432-7777
Mailing Address - Street 1:7 AUER CT
Mailing Address - Street 2:
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816-5829
Mailing Address - Country:US
Mailing Address - Phone:732-432-7777
Mailing Address - Fax:732-432-9030
Practice Address - Street 1:7 AUER CT
Practice Address - Street 2:
Practice Address - City:EAST BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816-5829
Practice Address - Country:US
Practice Address - Phone:732-432-7777
Practice Address - Fax:732-432-9030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-31
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8869405Medicaid
NJ6837000Medicaid
NJ0752223Medicaid