NPIMap

Organization Active NPI

Children of Joy Pediatrics

  • Pediatrics Physician
  • Hackensack, NJ
National Provider Identifier
1144464553
Registry record updated May 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA0768440 Issued in NJ
Legal business name
CHILDREN OF JOY PEDIATRICS
Practice address
134 Summit Avenue
Hackensack, NJ 07601
Phone
(201) 525-0077
Fax
(201) 525-0072
NPI assigned
Apr 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2012

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

Authorized official

Name
Mrs. Mildred Benoit
Title
Office Manager
Phone
(201) 525-0077

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208000000X 25MA07684400 NJ
Pediatrics PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208000000X 25MA0768440 NJ Primary

Addresses

Primary practice location

134 Summit Avenue
Hackensack, NJ 07601

Mailing address

582 Penn Avenue
Teaneck, NJ 07666
Phone (201) 525-0077

Other identifiers 1

IdentifierTypeStateIssuer
0082368MedicaidNJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2157846Children of Joy Pediatrics134 Summit Avenue, Hackensack, NJ 07601Certificate of waiverNov 13, 2026

National Provider Directory

National Provider Directory

Locations

55 Summit Ave
Hackensack, NJ 07601
Phone (201) 525-0077

Practitioners & affiliated clinicians

Practitioners 12

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": "1240963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337299200000",
    "number": "1144464553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "582 PENN AVENUE",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "07666",
            "telephone_number": "201-525-0077",
            "fax_number": "201-525-0072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 SUMMIT AVENUE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "07601",
            "telephone_number": "201-525-0077",
            "fax_number": "201-525-0072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN OF JOY PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-29",
        "last_updated": "2012-05-18",
        "status": "A",
        "authorized_official_last_name": "BENOIT",
        "authorized_official_first_name": "MILDRED",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "201-525-0077",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA07684400",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA0768440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0082368",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2012; 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.