Healthcare Provider Details

I. General information

NPI: 1316866817
Provider Name (Legal Business Name): NJ PEDIATICIANS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 BRIGHTON RD STE 404
CLIFTON NJ
07012-1672
US

IV. Provider business mailing address

300 BROADACRES DR STE 100
BLOOMFIELD NJ
07003-3167
US

V. Phone/Fax

Practice location:
  • Phone: 973-250-2970
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. IKBAL TOKAT
Title or Position: PRESIDENT
Credential: MD
Phone: 973-250-2970