DP Pediatrics LLC

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

25MA 03456600 Issued in NJ

Legal business name

DP PEDIATRICS LLC

Practice address

142 Totowa Rd
#8
Totowa, NJ 07512-2745

Phone

(973) 904-1000

Fax

(973) 904-1480

NPI assigned

Jul 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Pratibha S Deshmukh, M.D.NPI 1508802349

Title

President

Phone

(973) 904-1000

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 3

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

• Pratibha Sarjerao Deshmukh, MD

  • Pediatric Adolescent Medicine Physician
  • Totowa, NJ
  • NPI 1508802349
  NPD (past) Authorized official
• Natalia Karpova, M.D.

  • Pediatrics Physician
  • Totowa, NJ
  • NPI 1174850564
  NPD (past)
• Krishna Kant Pandey, M.D.

  • Pediatrics Physician
  • Totowa, NJ
  • NPI 1124135314
  NPD (past)

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124057203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 TOTOWA RD",
            "address_2": "#8",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075122745",
            "telephone_number": "973-904-1000",
            "fax_number": "973-904-1480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 TOTOWA RD",
            "address_2": "#8",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075122745",
            "telephone_number": "973-904-1000",
            "fax_number": "973-904-1480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DP PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DESHMUKH",
        "authorized_official_first_name": "PRATIBHA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-904-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NJ",
            "license": "25MA 03456600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9027602",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Adolescent Medicine Physician in Totowa, NJ
• Providers in Totowa, NJ by specialty
• Pediatric Adolescent Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.