Organization Active NPI

Amj Pediatrics & Associates

  • Pediatric Adolescent Medicine Physician
  • Springfield, NJ
National Provider Identifier
1043474760
Registry record updated Jul 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
Legal business name
AMJ PEDIATRICS & ASSOCIATES
Practice address
18 Morris Ave
#2A
Springfield, NJ 07081-1457
Phone
(973) 379-4300
Fax
(973) 379-4302
NPI assigned
Jul 11, 2008
Last updated
Jul 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2008

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

Authorized official

Name
Jolly Thomas, M.DNPI 1790862100
Title
President
Phone
(973) 379-4300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080A0000X Primary

Addresses

Primary practice location

18 Morris Ave
#2A
Springfield, NJ 07081-1457

Mailing address

18 Morris Ave
#2A
Springfield, NJ 07081-1457
Phone (973) 379-4300

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D1096509Amj Pediatrics and Associates18 Morris Avenue, #2a, Springfield, NJ 07081Certificate of waiverMar 5, 2027

National Provider Directory

National Provider Directory

Locations

18 Morris Ave
Ste 2A
Springfield, NJ 07081
Phone (973) 379-4300

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215734400000",
    "number": "1043474760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 MORRIS AVE",
            "address_2": "#2A",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070811457",
            "telephone_number": "973-379-4300",
            "fax_number": "973-379-4302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 MORRIS AVE",
            "address_2": "#2A",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070811457",
            "telephone_number": "973-379-4300",
            "fax_number": "973-379-4302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMJ PEDIATRICS & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-11",
        "last_updated": "2008-07-11",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "JOLLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-379-4300",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.