Organization Active NPI

Healthy Futures Pediatrics LLC

  • Pediatrics Physician
  • Colts Neck, NJ
National Provider Identifier
1174564967
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA058185 Issued in NJ
Legal business name
HEALTHY FUTURES PEDIATRICS LLC
Practice address
9 Professional Cir
Suite 107
Colts Neck, NJ 07722-2426
Phone
(731) 462-7511
Fax
(732) 462-2822
NPI assigned
Jun 10, 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. Tammy Beth Makowsky, MDNPI 1790784817
Title
Owner
Phone
(732) 462-7511

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 25MA058185 NJ Primary

Addresses

Primary practice location

9 Professional Cir
Suite 107
Colts Neck, NJ 07722-2426

Mailing address

55 Rustic Way
Freehold, NJ 07728-9008
Phone (732) 863-0807

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
31D2242902Healthy Futures Pediatrics9 Professional Circle, Suite 107, Colts Neck, NJ 07722Certificate of waiverNov 14, 2027

National Provider Directory

National Provider Directory

Locations

9 Professional Cir
Ste 107
Colts Neck, NJ 07722
Phone (731) 462-7511

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": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174564967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 RUSTIC WAY",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077289008",
            "telephone_number": "732-863-0807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 PROFESSIONAL CIR",
            "address_2": "SUITE 107",
            "city": "COLTS NECK",
            "state": "NJ",
            "postal_code": "077222426",
            "telephone_number": "731-462-7511",
            "fax_number": "732-462-2822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY FUTURES PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAKOWSKY",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-462-7511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA058185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colts Neck, 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.
  • 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.