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

Old Bergen Pediatrics PA

Organization Pediatrics Physician · NPI 1053541599

Old Bergen Pediatrics PA is a Pediatrics Physician in Jersey City, New Jersey. Licensed in New Jersey. Registered with an NPI since 2009.

Licensed in
NJ
In the registry since
2009
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4 Highland Ave
Jersey City, NJ 07306-4510
Phone: (201) 434-3997
Fax: (201) 434-3304
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 25MA06888600 (NJ)

Record details

NPI number1053541599
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Eduardo Mangosing — President · (201) 434-3997
NPI enumeratedJuly 17, 2009
Last updated in NPPESJuly 17, 2009
Mailing address4 Highland Ave, Jersey City, NJ 07306-4510

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