Organization · Type 2 NPI

Old Tappan Medical Group, PA

Pediatrics Physician · Old Tappan, NJ

NPI number 1912916693 Active

Practice location

215 Old Tappan Rd
Old Tappan, NJ 07675-7000

Fax (201) 666-7610

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000XNone listed
Pediatrics Physician Primary 208000000XNone listed

Pediatrics Physician: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on de…

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About NPI 1912916693

Old Tappan Medical Group, PA's National Provider Identifier is 1912916693, issued on Aug 5, 2006. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in Old Tappan, NJ. The record was last updated on Sep 11, 2025.