Sussex County Pediatric Associates

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

SUSSEX COUNTY PEDIATRIC ASSOCIATES

Practice address

2 Myrtle Drive
Montague, NJ 07827

Phone

(973) 293-7579

NPI assigned

Jan 22, 2007

Last updated

Jan 17, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. James Porter

Title

Treasurer

Phone

(973) 293-7579

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200528000000",
    "number": "1114071024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MYRTLE DRIVE",
            "city": "MONTAGUE",
            "state": "NJ",
            "postal_code": "07827",
            "telephone_number": "973-293-7579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MYRTLE DRIVE",
            "city": "MONTAGUE",
            "state": "NJ",
            "postal_code": "07827",
            "telephone_number": "973-293-7579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSSEX COUNTY PEDIATRIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2008-01-17",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "973-293-7579",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nilda Margarita Rivera, LPC
• Shekera Robinson, COTA
• Sarah E Rome, DPT
• Innocent Urayai Rwakonda, PHYSICAL THERAPIST
• Shoprite Supermarkets, Inc (Shoprite Pharmacy of Montague)
• Yiou Wang, DMD
• Eric Williams
• Willowglen Academy - New Jersey. Inc.
• Willowglen Academy-New Jersey, Inc.
• Willowglen Academy-New Jersey, Inc.

• Medical Specialty Clinic/Center in Montague, NJ
• Providers in Montague, NJ by specialty
• Medical Specialty Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; 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.