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Export Provider Record NPI 1366456105
Totowa Pediatric Group, P.a.
Organization Subpart: NO
Active
NPI Number1366456105
NPI TypeNPI-2 Organization
SpecialtyPediatrics
Provider Details
NPI1366456105
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2006-07-28
Last Updated2020-08-22
Authorized OfficialYousef Abdulmasih
President
Phone: 9735950600
Mailing Address290 Union Blvd, Ste 2
Totowa, NJ 07512-2610
United States
Phone: (973) 595-0600
📍 View Map
Primary Practice Address290 Union Blvd, Ste 2
Totowa, NJ 07512-2610
United States
Phone: (973) 595-0600 | Fax: (973) 595-0206
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDNJ6888305-
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes208000000X – PediatricsNJMA62512
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About NPI 1366456105

Totowa Pediatric Group, P.a. is an organization registered in the CMS NPPES NPI Registry with NPI number 1366456105. The primary specialty listed is Pediatrics. The organization is located in Totowa, NJ. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-07-28. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1366456105?

NPI 1366456105 belongs to Totowa Pediatric Group, P.a., a Pediatrics in Totowa, NJ. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1366456105 active?

The current status of NPI 1366456105 in the NPPES registry is Active. The record was last updated on 2020-08-22.

What specialty is NPI 1366456105?

NPI 1366456105 is classified under the taxonomy Pediatrics. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1366456105?

You can verify NPI 1366456105 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1366456105?

The primary practice address on file for NPI 1366456105 is 290 Union Blvd, Totowa, NJ 07512-2610. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1366456105 issued?

NPI 1366456105 was first issued (enumerated) on 2006-07-28. The NPPES record was last updated on 2020-08-22.

Practice Location Map

Totowa Pediatric Group, P.a. is located at 290 Union Blvd, Totowa, NJ. Use the map below to find directions or verify the practice location.

📍 290 Union Blvd, Totowa, NJ 07512-2610  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Totowa Pediatric Group, P.a.. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1366456105. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
PediatricsMA62512NJ
Data Verified from CMS NPPES Last synced: 2026-08-17 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162