Organization Active NPI

Friendly Pediatrics PC

  • Pediatrics Physician
  • Old Bridge, NJ
National Provider Identifier
1174553077
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MA07115500 Issued in NJ
Legal business name
FRIENDLY PEDIATRICS PC
Practice address
3887 County Road 516
Suite 1B
Old Bridge, NJ 08857-2499
Phone
(732) 679-1163
Fax
(732) 679-1165
NPI assigned
Jul 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Alla Lokshina, M.D.NPI 1356389407
Title
President
Phone
(732) 679-1163

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 MA07115500 NJ Primary

Addresses

Primary practice location

3887 County Road 516
Suite 1B
Old Bridge, NJ 08857-2499

Mailing address

3887 County Road 516
Suite 1B
Old Bridge, NJ 08857-2499
Phone (732) 679-1163

National Provider Directory

National Provider Directory

Locations

3887 Route 516
Ste 1B
Old Bridge, NJ 08857
Phone (732) 679-1163

Practitioners & affiliated clinicians

Practitioners 1

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": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174553077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3887 COUNTY ROAD 516",
            "address_2": "SUITE 1B",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572499",
            "telephone_number": "732-679-1163",
            "fax_number": "732-679-1165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3887 COUNTY ROAD 516",
            "address_2": "SUITE 1B",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572499",
            "telephone_number": "732-679-1163",
            "fax_number": "732-679-1165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDLY PEDIATRICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOKSHINA",
        "authorized_official_first_name": "ALLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-679-1163",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "MA07115500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Bridge, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.