# PEDIATRIC SPECIALTY GROUP AT THE AMBULATORY CARE CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679521504
- **Authorized official:** MR. ANTHONY ESPOSITO (DIRECTOR)
- **Authorized official phone:** (732) 557-7160

## Contact information

- **Practice address:** 200 S ORANGE AVE, LIVINGSTON, NJ 07039-5817
- **Practice address phone:** (973) 322-7623
- **Practice address fax:** (973) 322-7698
- **Mailing address:** PO BOX 18456, NEWARK, NJ 07191-8456
- **Mailing address phone:** (732) 557-7160
- **Mailing address fax:** (732) 557-7109

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080P0206X | Pediatric Gastroenterology Physician | — | NULL | — |
| 2080P0206X | Pediatric Gastroenterology Physician | — | — | — |
| 2080P0210X | Pediatric Nephrology Physician | — | NULL | — |
| 2080P0210X | Pediatric Nephrology Physician | — | — | — |
| 2080P0214X | Pediatric Pulmonology Physician | — | NULL | Yes |
| 2080P0214X | Pediatric Pulmonology Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/04/2006
- **Last updated:** 09/11/2025