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Pediatric Urgicare LLC

Pediatric Urgicare LLC is a healthcare organization registered as Pediatric Adolescent Medicine Physician in Summit, NJ, holding Type 2 (organization) NPI 1609990043 since 2007. The authorized official on file is Michael Polisin, Owner.

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NPI 1609990043
Entity type Organization (Type 2)
Legal business name Pediatric Urgicare LLC
Practice address 33 OVERLOOK RD, SUITE 101, Summit, NJ, 07901
Phone 9089181666
Fax 9089189449
Enumeration date 2007-03-19
Last updated in NPPES 2020-08-22

Authorized official

Name Michael Polisin
Title Owner
Phone 9089181666

Taxonomy & classification

Taxonomy code Specialty Primary License State
2080A0000X Pediatric Adolescent Medicine Physician Primary
Copy-ready billing details
Provider: Pediatric Urgicare LLC
NPI: 1609990043
Taxonomy: 2080A0000X (Pediatric Adolescent Medicine Physician)
Address: 33 OVERLOOK RD, SUITE 101, Summit, NJ, 07901

Providers at this address

NPI Name Type Specialty Location
1265436174 John Boozan Individual Ophthalmology Physician Summit, NJ
1346249174 Gamma-Electron Radiation Oncology Associates Organization Radiation Oncology Physician Summit, NJ
1144212002 Teresa Manocchio Individual Pediatrics Physician Summit, NJ
1699763920 Lisa Toffey Individual Internal Medicine Physician Summit, NJ
1104814060 Roy Cabrera Individual Radiation Oncology Physician Summit, NJ
1093704934 Emily Jeffries Individual Internal Medicine Physician Summit, NJ
1235129040 Mary Ann Geary Individual Women's Health Nurse Practitioner Summit, NJ
1669454666 Robert Knee Individual Therapeutic Radiology Physician Summit, NJ

Verify this record

Cross-check NPI 1609990043 against the authoritative CMS record: view Pediatric Urgicare LLC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

What type of organization is Pediatric Urgicare LLC?
Pediatric Urgicare LLC is registered in NPPES as a Pediatric Adolescent Medicine Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.