Destyoncall Pediatrics

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

DESTYONCALL PEDIATRICS

Practice address

321 Yale Ave
Suite D
Stratford, NJ 08084-1247

Phone

(856) 627-6101

Fax

(856) 627-6103

NPI assigned

Jun 2, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Gerda Augustin, MDNPI 1881628436

Title

Pediatrician

Phone

(856) 627-6101

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• DestyOnCall HealthCare Other name

Locations

Practitioners 1

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

• Gerda Augustin, MD

  • General Practice Physician
  • Clarksburg, WV
  • NPI 1881628436
  NPD (past) Authorized official

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

{
    "created_epoch": "1243900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243900800000",
    "number": "1073749222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 YALE AVE",
            "address_2": "SUITE D",
            "city": "STRATFORD",
            "state": "NJ",
            "postal_code": "080841247",
            "telephone_number": "856-627-6101",
            "fax_number": "856-627-6103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 YALE AVE",
            "address_2": "SUITE D",
            "city": "STRATFORD",
            "state": "NJ",
            "postal_code": "080841247",
            "telephone_number": "856-627-6101",
            "fax_number": "856-627-6103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTYONCALL PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-02",
        "last_updated": "2009-06-02",
        "status": "A",
        "authorized_official_last_name": "AUGUSTIN",
        "authorized_official_first_name": "GERDA",
        "authorized_official_title_or_position": "PEDIATRICIAN",
        "authorized_official_telephone_number": "856-627-6101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0063002",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DestyOnCall HealthCare",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kimberly K. Denick, MD
• Dental Care of Stratford
• Dental Care of Stratford II LLC
• Vincent Derisio, DO
• Mahi Desai
• Lauren Deutsch, D.O.
• Kelianne Devlin, MD
• Saurabh Dharmadhikari, DO
• Supriya Dhaurali, DO
• Lakumi Dias

• Primary Care Clinic/Center in Stratford, NJ
• Providers in Stratford, NJ by specialty
• Primary Care Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2009; 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.