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

Pediatric Specialties, PA

Organization Sports Medicine (Neuromusculoskeletal Medicine) Physician · NPI 1699888065

Pediatric Specialties, PA is a Sports Medicine (Neuromusculoskeletal Medicine) Physician in Hackensack, New Jersey. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

90 Prospect Ave
Hackensack, NJ 07601-1909
Phone: (201) 342-4001
Fax: (201) 342-9569
Show map & directions

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

Specialties & licences

Sports Medicine (Neuromusculoskeletal Medicine) Physician (primary) Taxonomy 204C00000X

Record details

NPI number1699888065
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Harlow — Office Manager · (201) 342-4001
NPI enumeratedAugust 17, 2006
Last updated in NPPESAugust 22, 2020
Mailing address90 Prospect Ave, Hackensack, NJ 07601-1909