Organization
PRIME PEDIATRICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FATIMA JAFFERY MD (OWNER)
(973) 373-9600
Entity
Organization
Contact information
Practice address
50 UNION AVE, SUITE 704, IRVINGTON, NJ 07111-3262
(973) 373-9600
Mailing address
90 PARLIN LN, WATCHUNG, NJ 07069-5419
(973) 373-9600
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA06157600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9022805
—
NJ
Enumeration date
05/26/2006
Last updated
02/18/2010
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.
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