Organization
IRONBOUND PEDIATRICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NORMITA BELTRAN VICENTE RN (OFFICE MANAGER)
(973) 466-0300
Entity
Organization
Contact information
Practice address
155 JEFFERSON ST, LL STE 3, NEWARK, NJ 07105-1706
(973) 466-0300
(973) 466-1777
Mailing address
PO BOX 254, WEST ORANGE, NJ 07052-0254
(973) 466-0300
(973) 466-1117
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0050432
—
NJ
01
—
2353177001
AMERIHEALTH
NJ
01
—
50441
AETNA
NJ
Enumeration date
08/20/2006
Last updated
01/05/2012
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