Organization
SOMERSET PEDIATRIC GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY PARLAVECCHIO RN (CHIEF ADMINISTRATIVE OFFICER)
(908) 725-5530
Entity
Organization
Contact information
Practice address
575 ROUTE 28 STE 2100, RARITAN, NJ 08869-1363
(908) 725-1802
(908) 203-8825
Mailing address
575 ROUTE 28 STE 2205, RARITAN, NJ 08869-1363
(908) 725-5530
(908) 253-6559
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
2080S0010X
Pediatric Sports Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2622807
—
NJ
Enumeration date
10/27/2006
Last updated
06/04/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up