Organization
PEDIATRIC SPECIALTY GROUP AT THE AMBULATORY CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY ESPOSITO (DIRECTOR)
(732) 557-7160
Entity
Organization
Contact information
Practice address
200 S ORANGE AVE, LIVINGSTON, NJ 07039-5817
(973) 322-7623
(973) 322-7698
Mailing address
PO BOX 18456, NEWARK, NJ 07191-8456
(732) 557-7160
(732) 557-7109
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
—
—
2080P0210X
Pediatric Nephrology Physician
—
—
2080P0214X
Pediatric Pulmonology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8850003
—
NJ
Enumeration date
05/04/2006
Last updated
09/11/2025
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