Organization
PROGRESSIVE PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NOHA POLACK MD (PRESIDENT)
(201) 319-9800
Entity
Organization
Contact information
Practice address
3196 KENNEDY BLVD, 3RD FLOOR, UNION CITY, NJ 07087-2436
(201) 319-9800
(201) 319-9849
Mailing address
3196 KENNEDY BLVD, 3RD FLOOR, UNION CITY, NJ 07087-2436
(201) 319-9800
(201) 319-9849
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MA63880
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0252573
—
NJ
Enumeration date
12/12/2006
Last updated
02/17/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us