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Organization

IMAGINE PEDIATRICS OF NEW JERSEY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PATRICIA MELO HAYES MD (PRESIDENT)
(832) 746-5683
Entity
Organization

Contact information

Practice address
220 ATHENS WAY STE 240, NASHVILLE, TN 37228-1311
(833) 208-7770
Mailing address
220 ATHENS WAY STE 240, NASHVILLE, TN 37228-1311
(833) 208-7770

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
106H00000X
Marriage & Family Therapist
133V00000X
Registered Dietitian
183500000X
Pharmacist
1835P0200X
Pediatric Pharmacist
207R00000X
Internal Medicine Physician
208000000X
Pediatrics Physician
Primary
2080H0002X
Pediatric Hospice and Palliative Medicine Physician
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner
363LA2100X
Acute Care Nurse Practitioner
363LP0200X
Pediatric Nurse Practitioner
363LP0222X
Critical Care Pediatric Nurse Practitioner

Other

Enumeration date
06/05/2025
Last updated
06/05/2025
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