NPIMap

Organization Active NPI

Kintiroglou Pediatrics LLC

  • Pediatrics Physician
  • West Orange, NJ
National Provider Identifier
1144081852
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
KINTIROGLOU PEDIATRICS LLC
Doing business as
Kintiroglou Pediatrics LLC
Practice address
745 Northfield Ave Ste 7
West Orange, NJ 07052-1136
Phone
(973) 243-0002
Fax
(855) 274-7163
NPI assigned
Jan 19, 2024
Last updated
Dec 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Authorized official

Name
John Kintiroglou, MDNPI 1528198645
Title
MD
Phone
(973) 243-0002

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X Primary

Addresses

Primary practice location

745 Northfield Ave Ste 7
West Orange, NJ 07052-1136

Mailing address

7 James St
Florham Park, NJ 07932-1402
Phone (973) 295-6226

Other names 1

  • Kintiroglou Pediatrics LLC Doing business as

National Provider Directory

National Provider Directory

Locations

1308 Morris Ave
Ste 104
Union, NJ 07083
Phone (908) 351-1626

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1705622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733184000000",
    "number": "1144081852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 JAMES ST",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321402",
            "telephone_number": "973-295-6226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 NORTHFIELD AVE STE 7",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521136",
            "telephone_number": "973-243-0002",
            "fax_number": "855-274-7163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINTIROGLOU PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-19",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A",
        "authorized_official_last_name": "KINTIROGLOU",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "973-243-0002",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kintiroglou Pediatrics LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kintiroglou Pediatrics LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; 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.