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

Passaic Pediatrics PA

Organization Pediatrics Physician · NPI 1326383076

Passaic Pediatrics PA is a Pediatrics Physician in Passaic, New Jersey. Licensed in New Jersey. Registered with an NPI since 2012.

Licensed in
NJ
In the registry since
2012
Specialties on file
3
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

200 Gregory Ave
Passaic, NJ 07055-3802
Phone: (973) 249-8100
Fax: (973) 249-8110
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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 MA07167400 (NJ)
Pediatrics Physician Taxonomy 208000000X · Licence MA08000400 (NJ)
Pediatrics Physician Taxonomy 208000000X · Licence MA07649100 (NJ)

Record details

NPI number1326383076
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Antonio Camilo — Owner · (201) 233-3455
NPI enumeratedDecember 6, 2012
Last updated in NPPESDecember 6, 2012
Mailing address298 Passaic St, Passaic, NJ 07055-5813

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