Organization Active NPI

Plainfield Pediatrics PA

  • Specialist
  • Plainfield, NJ
National Provider Identifier
1053563304
Registry record updated Oct 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MAO72020 Issued in NJ
Legal business name
PLAINFIELD PEDIATRICS PA
Practice address
1024 Park Ave
Plainfield, NJ 07060-3026
Phone
(908) 755-7773
Fax
(908) 755-8777
NPI assigned
Oct 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2008

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

Authorized official

Name
Svetlana Zonn, M.D.NPI 1013948199
Title
Doctor
Phone
(908) 755-7773

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MAO72020 NJ Primary

Addresses

Primary practice location

1024 Park Ave
Plainfield, NJ 07060-3026

Mailing address

1024 Park Ave
Plainfield, NJ 07060-3026
Phone (908) 755-7773

Other identifiers 1

IdentifierTypeStateIssuer
0087708MedicaidNJ

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
31D1004129Plainfield Pediatrics PA1024 Park Avenue Suite 5, Plainfield, NJ 07060Certificate of waiverMay 10, 2028

National Provider Directory

National Provider Directory

Locations

1024 Park Ave
Plainfield, NJ 07060
Phone (908) 222-8400

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1224201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224201600000",
    "number": "1053563304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 PARK AVE",
            "city": "PLAINFIELD",
            "state": "NJ",
            "postal_code": "070603026",
            "telephone_number": "908-755-7773",
            "fax_number": "908-755-8777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 PARK AVE",
            "city": "PLAINFIELD",
            "state": "NJ",
            "postal_code": "070603026",
            "telephone_number": "908-755-7773",
            "fax_number": "908-755-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAINFIELD PEDIATRICS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-17",
        "last_updated": "2008-10-17",
        "status": "A",
        "authorized_official_last_name": "ZONN",
        "authorized_official_first_name": "SVETLANA",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "908-755-7773",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MAO72020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0087708",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.