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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

OLD TAPPAN MEDICAL GROUP, PA

Active Organization

OLD TAPPAN MEDICAL GROUP, PA is a Pediatrics organization located in OLD TAPPAN, New Jersey. NPI 1912916693 is currently active in the NPPES registry. Verify at CMS.

Pediatrics · OLD TAPPAN, NJ

Registration Details

NPI Number
1912916693
Provider Type
Organization
NPI Issued
Aug 5, 2006 (20.040121930145 yrs)
Last Updated
Sep 11, 2025

Practice Information

Address
215 OLD TAPPAN RD
OLD TAPPAN, NJ, 076757000
Browse NJ providers · Browse ZIP 07675
Phone
2016661000
Fax
2016667610
Primary Specialty
Pediatrics
208000000X
Additional Specialty
Pediatrics

Other Pediatrics Organizations in OLD TAPPAN, NJ

Name NPI
OLD TAPPAN PEDIATRICS 1114936879
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.