NPIMap

Organization Active NPI

Watchung Pediatrics

  • Pediatrics Physician
  • Warren, NJ
National Provider Identifier
1225021181
Registry record updated Nov 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
WATCHUNG PEDIATRICS
Practice address
76 Stirling Rd
Ste 201
Warren, NJ 07059-5751
Phone
(908) 755-5437
Fax
(908) 755-6905
NPI assigned
Aug 25, 2005
Last updated
Nov 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2008

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

Authorized official

Name
Andrea G Katz, MDNPI 1124011903
Title
President/Ceo
Phone
(908) 755-5437

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 Physician 208000000X Primary

Addresses

Primary practice location

76 Stirling Rd
Ste 201
Warren, NJ 07059-5751

Mailing address

76 Stirling Rd
Ste 201
Warren, NJ 07059-5751
Phone (908) 755-5437

Other identifiers 6

IdentifierTypeStateIssuer
606914OtherNJPHCS GROUP ID
0376373001OtherNJAMERIHEALTH HMO GROUP ID
5149509MedicaidNJ
956005OtherNJAMERIHEALTH PPO GROUP ID
1431OtherNJUNIVERSITY GROUP ID
0501095OtherNJAETNA HMO GROUP ID

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
31D0913938Watchung Pediatrics76 Stirling Road Suite 201, Warren, NJ 07059Certificate of waiverMar 28, 2027

National Provider Directory

National Provider Directory

Locations

346 South Ave
Ste 3
Fanwood, NJ 07023

495 Iron Bridge Rd
Ste 1
Freehold, NJ 07728
Phone (732) 577-0047

225 Millburn Ave
Ste 301
Millburn, NJ 07041
Phone (973) 376-7337

3350 State Route 138
Ste 126
Wall Township, NJ 07719
Phone (732) 280-6455

76 Stirling Rd
Ste 201
Warren, NJ 07059
Phone (908) 755-5437

Practitioners & affiliated clinicians

Practitioners 36

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 36

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227484800000",
    "number": "1225021181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 STIRLING RD",
            "address_2": "STE 201",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070595751",
            "telephone_number": "908-755-5437",
            "fax_number": "908-755-6905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 STIRLING RD",
            "address_2": "STE 201",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070595751",
            "telephone_number": "908-755-5437",
            "fax_number": "908-755-6905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATCHUNG PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-25",
        "last_updated": "2008-11-24",
        "status": "A",
        "authorized_official_last_name": "KATZ",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "908-755-5437",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS GROUP ID",
            "identifier": "606914",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH HMO GROUP ID",
            "identifier": "0376373001",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5149509",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH PPO GROUP ID",
            "identifier": "956005",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSITY GROUP ID",
            "identifier": "1431",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO GROUP ID",
            "identifier": "0501095",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2008; 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.