Organization Active NPI

Chatham Pediatrics, LLC

  • Pediatrics Physician
  • Chatham, NJ
National Provider Identifier
1013112507
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
05279000 Issued in NJ
Legal business name
CHATHAM PEDIATRICS, LLC
Practice address
12 Parrott Mill Rd
Chatham, NJ 07928-2744
Phone
(973) 635-4511
Fax
(973) 701-1520
NPI assigned
Jun 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Elsie C Estrada, MD
Title
Owner
Phone
(973) 465-4511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 05279000 NJ Primary

Addresses

Primary practice location

12 Parrott Mill Rd
Chatham, NJ 07928-2744

Mailing address

12 Parrott Mill Rd
Chatham, NJ 07928-2744
Phone (973) 635-4511

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013112507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 PARROTT MILL RD",
            "city": "CHATHAM",
            "state": "NJ",
            "postal_code": "079282744",
            "telephone_number": "973-635-4511",
            "fax_number": "973-701-1520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 PARROTT MILL RD",
            "city": "CHATHAM",
            "state": "NJ",
            "postal_code": "079282744",
            "telephone_number": "973-635-4511",
            "fax_number": "973-701-1520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHATHAM PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ESTRADA",
        "authorized_official_first_name": "ELSIE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-465-4511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "05279000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chatham, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.