Healthcare Provider Details

I. General information

NPI: 1285559781
Provider Name (Legal Business Name): ADVENTURE PEDIATRICS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

465 ROUTE 46
TOTOWA NJ
07512-1840
US

IV. Provider business mailing address

465 ROUTE 46
TOTOWA NJ
07512-1840
US

V. Phone/Fax

Practice location:
  • Phone: 973-475-8000
  • Fax: 732-527-0397
Mailing address:
  • Phone: 973-475-8000
  • Fax: 732-527-0397

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: AMY JOHN
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 973-475-8000