NPIMap

Organization Active NPI

Mahi Pediatrics PC

  • Pediatrics Physician
  • Newark, NJ
National Provider Identifier
1194495358
Registry record updated Sep 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
MAHI PEDIATRICS PC
Practice address
41 Wilson Ave
Suite 2D
Newark, NJ 07105
Phone
(973) 589-7337
Fax
(973) 589-1905
NPI assigned
Sep 17, 2021
Organization subpart
Yes
Parent organization
MAHI PEDIATRICS PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 17, 2021

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

Authorized official

Name
Uma Kanikicharla, MDNPI 1487840039
Title
Ceo
Phone
(973) 589-7337

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary
Urgent Care Clinic/Center 261QU0200X

Addresses

Primary practice location

41 Wilson Ave
Suite 2D
Newark, NJ 07105

Mailing address

41 Wilson Ave
Suite 2D
Newark, NJ 07105
Phone (973) 589-7337

Other identifiers 1

IdentifierTypeStateIssuer
60090050MedicaidNJ

Other names 1

  • Pediatrickare Urgent Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mahi Pediatrics PC2 organizations share this tax ID, including this one
Part of
Mahi Pediatrics PC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 5

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": "1631836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631836800000",
    "number": "1194495358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 WILSON AVE",
            "address_2": "SUITE 2D",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "07105",
            "telephone_number": "973-589-7337",
            "fax_number": "973-589-1905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 WILSON AVE",
            "address_2": "SUITE 2D",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "07105",
            "telephone_number": "973-589-7337",
            "fax_number": "973-589-1905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHI PEDIATRICS PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAHI PEDIATRICS  PC",
        "enumeration_date": "2021-09-17",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-01",
        "status": "A",
        "authorized_official_last_name": "KANIKICHARLA",
        "authorized_official_first_name": "UMA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "973-589-7337",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60090050",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatrickare Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; 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.