Organization Active NPI

Woodbridge Pediatrics & Adolescent Care.,PC

  • Health Service Clinic/Center
  • Colonia, NJ
National Provider Identifier
1124169727
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
25MA04259400 Issued in NJ
Legal business name
WOODBRIDGE PEDIATRICS & ADOLESCENT CARE.,PC
Practice address
80 Lake Ave
Colonia, NJ 07067-1323
Phone
(732) 396-4744
Fax
(732) 396-9604
NPI assigned
Feb 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Kamal P Charaipotra, MD
Title
President
Phone
(732) 396-0813

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 25MA04259400 NJ Primary
Primary Care Clinic/Center 261QP2300X 25MA05905800 NJ

Addresses

Primary practice location

80 Lake Ave
Colonia, NJ 07067-1323

Mailing address

80 Lake Ave
Colonia, NJ 07067-1323
Phone (732) 396-4744

Other identifiers 1

IdentifierTypeStateIssuer
6560300MedicaidNJ

National Provider Directory

National Provider Directory

Locations

80 Lake Ave
Colonia, NJ 07067
Phone (732) 396-4744

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1124169727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 LAKE AVE",
            "city": "COLONIA",
            "state": "NJ",
            "postal_code": "070671323",
            "telephone_number": "732-396-4744",
            "fax_number": "732-396-9604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 LAKE AVE",
            "city": "COLONIA",
            "state": "NJ",
            "postal_code": "070671323",
            "telephone_number": "732-396-4744",
            "fax_number": "732-396-9604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODBRIDGE PEDIATRICS & ADOLESCENT CARE.,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "CHARAIPOTRA",
        "authorized_official_first_name": "KAMAL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-396-0813",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NJ",
            "license": "25MA04259400",
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NJ",
            "license": "25MA05905800",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6560300",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colonia, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.