Pediatric Health, PA

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PEDIATRIC HEALTH, PA

Practice address

69 W Main St
Freehold, NJ 07728-2114

Phone

(732) 409-3633

Fax

(732) 409-7133

NPI assigned

Aug 30, 2006

Organization subpart

No

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

Authorized official

Name

Lopez Roberta

Title

Comptroller

Phone

(732) 409-3633

Specialties & licenses 1

Addresses

Other identifiers 1

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

CLIA laboratory certificates

Tax ID family

Pediatric Health PA5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• Pediatric Health, PA

  • Pediatrics Physician
  • Freehold, NJ
  • NPI 1043314453
  NPD tax ID
• Pediatric Health, PA

  • Pediatrics Physician
  • Morganville, NJ
  • NPI 1265542104
  NPD tax ID
• Pediatric Health, PA

  • Pediatrics Physician
  • Howell, NJ
  • NPI 1518077445
  NPD tax ID
• Pediatric Health, PA

  • Pediatrics Physician
  • Howell, NJ
  • NPI 1609048057
  NPD tax ID

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279584000000",
    "number": "1083723993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 W MAIN ST",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282114",
            "telephone_number": "732-409-3633",
            "fax_number": "732-409-7133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 W MAIN ST",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282114",
            "telephone_number": "732-409-3633",
            "fax_number": "732-409-7133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC HEALTH, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2010-07-20",
        "status": "A",
        "authorized_official_last_name": "ROBERTA",
        "authorized_official_first_name": "LOPEZ",
        "authorized_official_title_or_position": "COMPTROLLER",
        "authorized_official_telephone_number": "732-409-3633"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3196305",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordan L. Pauker, PSY.D.
• Neil B Paulvin, DO
• Peace of Mind Counseling & Consulting
• Tanika Peart
• Pediatric Health, PA
• Peerless Rehabilitation Services
• Barbara Pellichero, LPC
• Monte B Pellmar, MD
• Owano M Pennycooke, MD
• Melissa Suzanne Pepio, LSW

• Pediatrics Physician in Freehold, NJ
• Providers in Freehold, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2010; 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.