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

Elizabeth Pediatric Group, LLC

Organization Pediatrics Physician · NPI 1104031939

Elizabeth Pediatric Group, LLC is a Pediatrics Physician in Elizabeth, New Jersey. Licensed in New Jersey. Registered with an NPI since 2007.

Licensed in
NJ
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

701 Newark Ave Ste 212
Elizabeth, NJ 07208-3550
Phone: (908) 354-9500
Fax: (908) 354-9077
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 25MA04177300 (NJ)

Record details

NPI number1104031939
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenneth Davis — Owner · (908) 354-9500
NPI enumeratedMay 14, 2007
Last updated in NPPESAugust 22, 2020
Mailing address701 Newark Ave, Suite 212, Elizabeth, NJ 07208-3550

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