NPIMap

Organization Active NPI

Bidabadi Pediatrics, LLC

  • Pediatrics Physician
  • Kendall Park, NJ
National Provider Identifier
1164975447
Registry record updated Aug 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA07775700 Issued in NJ
Legal business name
BIDABADI PEDIATRICS, LLC
Practice address
3086 State Route 27
Suite 8
Kendall Park, NJ 08824-1658
Phone
(732) 422-0393
Fax
(732) 821-0903
NPI assigned
Aug 3, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2016

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

Authorized official

Name
Dr. Bobak Bidabadi, M.D.NPI 1548206048
Title
Partner
Phone
(908) 420-8150

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 25MA07775700 NJ Primary

Addresses

Primary practice location

3086 State Route 27
Suite 8
Kendall Park, NJ 08824-1658

Mailing address

3086 State Route 27
Suite 8
Kendall Park, NJ 08824-1658
Phone (732) 422-0393

National Provider Directory

National Provider Directory

Locations

3086 State Route 27
Ste 8
Kendall Park, NJ 08824
Phone (732) 422-0393

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": "1470182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470182400000",
    "number": "1164975447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3086 STATE ROUTE 27",
            "address_2": "SUITE 8",
            "city": "KENDALL PARK",
            "state": "NJ",
            "postal_code": "088241658",
            "telephone_number": "732-422-0393",
            "fax_number": "732-821-0903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3086 STATE ROUTE 27",
            "address_2": "SUITE 8",
            "city": "KENDALL PARK",
            "state": "NJ",
            "postal_code": "088241658",
            "telephone_number": "732-422-0393",
            "fax_number": "732-821-0903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIDABADI PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-03",
        "last_updated": "2016-08-03",
        "status": "A",
        "authorized_official_last_name": "BIDABADI",
        "authorized_official_first_name": "BOBAK",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "908-420-8150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA07775700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kendall Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; 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.