Catherine Daphne Nicolaides, M.D.

Primary specialty

Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X

License

MA56616 Issued in NJ

Practice address

733 E Route 70
Building 2, Suite 201
Marlton, NJ 08053-2300

Phone

(856) 983-6675

Fax

(856) 983-5243

NPI assigned

Feb 7, 2011

Last updated

Feb 7, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Children's Specialized Hospital

  • Children's Rehabilitation Hospital
  • New Brunswick, NJ
  • NPI 1396886297
  Medicare reassignment NPD
• Catherine D. Nicolaides, MD, Inc.

  dba Developmental Pediatrics

  • Pediatric Neurodevelopmental Disabilities Physician
  • Marlton, NJ
  • NPI 1962661587
  Authorized official Same address or phone
• Children' Specialized Hospital

  • Medically Fragile Infants and Children Day Care
  • Mountainside, NJ
  • NPI 1578604476
  NPD

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

{
    "created_epoch": "1297036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297036800000",
    "number": "1033415104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 E ROUTE 70",
            "address_2": "BUILDING 2, SUITE 201",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080532300",
            "telephone_number": "856-983-6675",
            "fax_number": "856-983-5243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 E ROUTE 70",
            "address_2": "BUILDING 2, SUITE 201",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080532300",
            "telephone_number": "856-983-6675",
            "fax_number": "856-983-5243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICOLAIDES",
        "first_name": "CATHERINE",
        "middle_name": "DAPHNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-07",
        "last_updated": "2011-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "NJ",
            "license": "MA56616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nexus Autism Intervention Services Inc.
• Nguyen Eye Care Associates, LLC
• Cyndi T Nguyen, DDS
• Lisa T. Nguyen, DMD
• Natalie Lam Quynh Nguyen, RPH
• Aban Nikoonezhad
• Dara Nikoonezhad, DMD
• NJ MMJ LLC
• NJ Pain Associates (Peak Spine & Sports Medicine)
• NJ Preventive Health Edge Medical PC

• Developmental - Behavioral Pediatrics Physician in Marlton, NJ
• Providers in Marlton, NJ by specialty
• Developmental - Behavioral Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.