Elizabeth Pediatric Group, LLC
NPI 1104031939 · Pediatrics Physician · Elizabeth, NJ
Elizabeth Pediatric Group, LLC is a Pediatrics Physician organization in Elizabeth, NJ (NPI 1104031939).
Provider details
- NPI number
- 1104031939
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kenneth Davis, Owner(908) 354-9500
- License
- 25MA04177300 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-05-14
- Last updated
- 2020-08-22
Frequently asked questions
- What is Elizabeth Pediatric Group, LLC's NPI number?
- Elizabeth Pediatric Group, LLC's National Provider Identifier (NPI) is 1104031939, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Elizabeth Pediatric Group, LLC?
- Elizabeth Pediatric Group, LLC is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Elizabeth Pediatric Group, LLC located?
- Elizabeth Pediatric Group, LLC's practice location on file with NPPES is 701 Newark Ave, Elizabeth, NJ 07208-3550.
- What is Elizabeth Pediatric Group, LLC's phone number?
- The practice phone number listed in the NPPES registry for Elizabeth Pediatric Group, LLC is (908) 354-9500.
- Who is the authorized official for Elizabeth Pediatric Group, LLC?
- The authorized official listed on Elizabeth Pediatric Group, LLC's NPPES record is Kenneth Davis, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Elizabeth Pediatric Group, LLC's NPI active?
- Yes — Elizabeth Pediatric Group, LLC's NPI (1104031939) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.