Provider Demographics
NPI:1700511607
Name:RAINBOW PEDIATRICS PARSIPPANY
Entity Type:Organization
Organization Name:RAINBOW PEDIATRICS PARSIPPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DINESHKUMAR
Authorized Official - Middle Name:R
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-257-0024
Mailing Address - Street 1:364 PARSIPPANY RD STE 9B
Mailing Address - Street 2:
Mailing Address - City:PARSIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07054-5110
Mailing Address - Country:US
Mailing Address - Phone:973-257-0024
Mailing Address - Fax:973-585-6682
Practice Address - Street 1:364 PARSIPPANY RD STE 9B
Practice Address - Street 2:
Practice Address - City:PARSIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07054-5110
Practice Address - Country:US
Practice Address - Phone:973-257-0024
Practice Address - Fax:973-585-6682
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-24
Last Update Date:2022-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
1194793125OtherNPI