Goldstar Pediatrics, LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

25MA08909400 Issued in NJ

Legal business name

GOLDSTAR PEDIATRICS, LLC

Practice address

9 Professional Cir Ste 103
Colts Neck, NJ 07722-2427

Phone

(848) 300-0010

Fax

(732) 440-3737

NPI assigned

Nov 7, 2016

Organization subpart

No

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

Authorized official

Name

Ritu Khullar, M.D.NPI 1912167701

Title

Managing Member

Phone

(609) 457-5941

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

Locations

Practitioners 1

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

• Ritu Khullar, M.D.

  • Pediatrics Physician
  • Colts Neck, NJ
  • NPI 1912167701
  NPD Authorized official

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

{
    "created_epoch": "1478476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680566400000",
    "number": "1104368208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 PROFESSIONAL CIR STE 103N",
            "city": "COLTS NECK",
            "state": "NJ",
            "postal_code": "077222427",
            "telephone_number": "848-300-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 PROFESSIONAL CIR STE 103",
            "city": "COLTS NECK",
            "state": "NJ",
            "postal_code": "077222427",
            "telephone_number": "848-300-0010",
            "fax_number": "732-440-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDSTAR PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-07",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A",
        "authorized_official_last_name": "KHULLAR",
        "authorized_official_first_name": "RITU",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "609-457-5941",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA08909400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ LICENSE",
            "identifier": "25MA08909400",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Michael Ghobrial, M.D.
• Gi Doctor LLC
• Chelsea Giakas, LPC
• Alyssa Lyn Cantin Giles
• Chantea Donielle Goetz, PH.D., M.S.
• Raffaella Greene, LAC
• Angelica Grimes, LPC
• Lisa Gualberti-Girgis, MD
• Joann Gualberti, MD
• Thomas W Gustafson, DC

• Pediatrics Physician in Colts Neck, NJ
• Providers in Colts Neck, 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 Apr 4, 2023; 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.