Provider Demographics
NPI:1881181220
Name:BABY DOCTOR (NJ) LLC
Entity Type:Organization
Organization Name:BABY DOCTOR (NJ) LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MAJORITY MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:DANIA
Authorized Official - Middle Name:
Authorized Official - Last Name:RUMBAK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:800-315-2229
Mailing Address - Street 1:180 W 80TH ST STE 214
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-6370
Mailing Address - Country:US
Mailing Address - Phone:800-315-2229
Mailing Address - Fax:212-937-3992
Practice Address - Street 1:180 W 80TH ST STE 214
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-6370
Practice Address - Country:US
Practice Address - Phone:800-315-2229
Practice Address - Fax:212-937-3992
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-20
Last Update Date:2018-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA09855900208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty