Active NPI
Woodbridge Pediatrics & Adolescent Care.,PC
- Health Service Clinic/Center
- Colonia, NJ
National Provider Identifier
1124169727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- 25MA04259400
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6560300 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pediatric Adolescent Medicine Physician
- Colonia, NJ
- NPI 1750476057
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.