Provider Demographics
NPI:1679995393
Name:TOP NOTCH PEDIATRICS, LLC
Entity Type:Organization
Organization Name:TOP NOTCH PEDIATRICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALISSA
Authorized Official - Middle Name:H
Authorized Official - Last Name:ZENACK
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:201-820-4600
Mailing Address - Street 1:899 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-4914
Mailing Address - Country:US
Mailing Address - Phone:201-820-4600
Mailing Address - Fax:201-820-4597
Practice Address - Street 1:899 MAIN ST
Practice Address - Street 2:
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-4914
Practice Address - Country:US
Practice Address - Phone:201-820-4600
Practice Address - Fax:201-820-4597
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-15
Last Update Date:2014-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB07995400208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty