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

Pediatric Surgery Group, LLC

Organization Pediatric Surgery Physician · NPI 1679580781

Pediatric Surgery Group, LLC is a Pediatric Surgery Physician in Maplewood, New Jersey. Registered with an NPI since 2006.

In the registry since
2006
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

2130 Millburn Ave
Maplewood, NJ 07040-3725
Phone: (973) 313-3115
Fax: (973) 313-3188
Show map & directions

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

Specialties & licences

Pediatric Surgery Physician (primary) Taxonomy 2086S0120X

Record details

NPI number1679580781
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Colin Bethel — Managing Member · (973) 660-9334
NPI enumeratedAugust 2, 2006
Last updated in NPPESDecember 21, 2010
Mailing address25b Vreeland Rd, Suite 110, Florham Park, NJ 07932-1900

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