Active NPI
John M Tedeschi, MD
- Pediatrics Physician
- West Collingswood, NJ
National Provider Identifier
1194789156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 25MA02072400
- Practice address
- 504 White Horse Pike
West Collingswood, NJ 08107-1730 - Phone
- (856) 424-6050
- Fax
- (856) 424-2943
- NPI assigned
- Apr 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 25MA02072400 | NJ | Primary |
Addresses
Primary practice location
504 White Horse Pike
West Collingswood, NJ 08107-1730
Mailing address
402 Lippincott Dr
Marlton, NJ 08053-4112
Phone (856) 782-3300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA02072400 | NJ | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatricians for Exceptional Children | Past | Accepting new patients | |
| Newborn Health Associates | Past | Accepting new patients | |
| Pediatric Intensive Care Associates | Past | Accepting new patients | |
| Children'S Health Associates II | Pediatrics | Past | Accepting new patients |
| Children and Adolescent Rapid Emergency Services | Past | Accepting new patients |
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatric Emergency Medicine (Pediatrics) Physician
- Voorhees, NJ
- NPI 1134173834
-
- Pediatrics Physician
- Voorhees, NJ
- NPI 1871547281
-
- Neonatal-Perinatal Medicine Physician
- Voorhees, NJ
- NPI 1568416683
-
- Pediatric Critical Care Medicine Physician
- Voorhees, NJ
- NPI 1497709661
-
- Developmental - Behavioral Pediatrics Physician
- Marlton, NJ
- NPI 1184678864
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306368000000",
"number": "1194789156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 LIPPINCOTT DR",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080534112",
"telephone_number": "856-782-3300",
"fax_number": "856-504-8029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "504 WHITE HORSE PIKE",
"city": "WEST COLLINGSWOOD",
"state": "NJ",
"postal_code": "081071730",
"telephone_number": "856-424-6050",
"fax_number": "856-424-2943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEDESCHI",
"first_name": "JOHN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-14",
"last_updated": "2011-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "25MA02072400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Collingswood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.