Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bayonne Pediatric Practice

Organization Pediatrics Physician · NPI 1427416304

Bayonne Pediatric Practice is a Pediatrics Physician in Bayonne, New Jersey. Licensed in New Jersey. Registered with an NPI since 2016.

Licensed in
NJ
In the registry since
2016

Practice location Address checks out

765 Kennedy Blvd
Bayonne, NJ 07002
Phone: (201) 823-4141
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 25MA08140300 (NJ)

Record details

NPI number1427416304
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shalini Raghu — Owner · (201) 823-4141
NPI enumeratedFebruary 5, 2016
Last updated in NPPESDecember 10, 2021
Certification dateDecember 10, 2021
Mailing address21 Tamarack Rd, Edison, NJ 08820-3630

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