Organization Active NPI

Kang-Lee and Janusz Pediatrics, LLC

  • Allergy & Immunology Physician
  • Edison, NJ
National Provider Identifier
1164729448
Registry record updated Oct 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
25MA03216200 Issued in NJ
Legal business name
KANG-LEE AND JANUSZ PEDIATRICS, LLC
Practice address
2177 Oak Tree Rd
Suite 207
Edison, NJ 08820-1082
Phone
(732) 549-7007
Fax
(732) 494-9098
NPI assigned
Feb 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2017

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

Authorized official

Name
Mrs. Christine E Kim
Title
Manager
Phone
(732) 549-7007

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 25MA05523200 NJ
Allergy & Immunology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207K00000X 25MA03216200 NJ Primary

Addresses

Primary practice location

2177 Oak Tree Rd
Suite 207
Edison, NJ 08820-1082

Mailing address

PO Box 250
South Plainfield, NJ 07080-0250
Phone (732) 549-7007

National Provider Directory

National Provider Directory

Locations

2177 Oak Tree Rd
Ste 207
Edison, NJ 08820
Phone (732) 205-1311

Practitioners & affiliated clinicians

Practitioners 2

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": "1298332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507680000000",
    "number": "1164729448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070800250",
            "telephone_number": "732-549-7007",
            "fax_number": "732-494-9098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2177 OAK TREE RD",
            "address_2": "SUITE 207",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088201082",
            "telephone_number": "732-549-7007",
            "fax_number": "732-494-9098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANG-LEE AND JANUSZ PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-22",
        "last_updated": "2017-10-11",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "732-549-7007",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA05523200",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": "NJ",
            "license": "25MA03216200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2017; 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.