Convenient Pediatrics

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

MA06420900 Issued in NJ

Legal business name

CONVENIENT PEDIATRICS

Practice address

613 Ridge Rd
Ste:104
Monmouth JCT, NJ 08852-2630

Phone

(732) 329-8215

NPI assigned

Dec 12, 2007

Last updated

Dec 12, 2007By 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. Farhat Nageen, M.D.

Title

Pediatrician

Phone

(732) 329-8215

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197417600000",
    "number": "1144403163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 RIDGE RD",
            "address_2": "STE:104",
            "city": "MONMOUTH JCT",
            "state": "NJ",
            "postal_code": "088522630",
            "telephone_number": "732-329-8215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 RIDGE RD",
            "address_2": "STE:104",
            "city": "MONMOUTH JCT",
            "state": "NJ",
            "postal_code": "088522630",
            "telephone_number": "732-329-8215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONVENIENT PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-12",
        "last_updated": "2007-12-12",
        "status": "A",
        "authorized_official_last_name": "NAGEEN",
        "authorized_official_first_name": "FARHAT",
        "authorized_official_title_or_position": "PEDIATRICIAN",
        "authorized_official_telephone_number": "732-329-8215",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NJ",
            "license": "MA06420900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bharati D Penupatruni MD LLC
• Convenient Family Medical Center
• Mary F Dashiell, LCSW
• Medha Gupta
• Kids Smile, PC
• Rani A Kolli, DDS
• Lisa D Marquette, PH.D.

• Primary Care Clinic/Center in Monmouth JCT, NJ
• Providers in Monmouth JCT, NJ by specialty
• Primary Care Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; 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.