Organization Active NPI

Bridge Pediatrics LLC

  • Pediatrics Physician
  • Fort Lee, NJ
National Provider Identifier
1033594338
Registry record updated Jun 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
BRIDGE PEDIATRICS LLC
Practice address
2175 Lemoine Ave
Suite 502
Fort Lee, NJ 07024-6008
Phone
(917) 716-5427
NPI assigned
Jul 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2016

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

Authorized official

Name
Dr. Geeta Kumar, MD
Title
Doctor
Phone
(917) 716-5427

Specialties & licenses 1

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

Addresses

Primary practice location

2175 Lemoine Ave
Suite 502
Fort Lee, NJ 07024-6008

Mailing address

2175 Lemoine Ave
Suite 502
Fort Lee, NJ 07024-6008
Phone (917) 716-5427

National Provider Directory

National Provider Directory

Locations

2175 Lemoine Ave
Ste 502
Fort Lee, NJ 07024
Phone (917) 716-5427

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11897/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1438041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466985600000",
    "number": "1033594338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2175 LEMOINE AVE",
            "address_2": "SUITE 502",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246008",
            "telephone_number": "917-716-5427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2175 LEMOINE AVE",
            "address_2": "SUITE 502",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246008",
            "telephone_number": "917-716-5427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-28",
        "last_updated": "2016-06-27",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "GEETA",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "917-716-5427",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lee, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2016; 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.