Pediatric Associates of Holmdel,PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PEDIATRIC ASSOCIATES OF HOLMDEL,PC

Practice address

719 N Beers St
Suite 1-E
Holmdel, NJ 07733-1522

Phone

(732) 739-4414

Fax

(732) 739-9537

NPI assigned

Mar 8, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kusum Mohan, MDNPI 1154462604

Title

Chairman

Phone

(732) 739-4414

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Kusum Mohan, MD

  • Pediatrics Physician
  • Holmdel, NJ
  • NPI 1154462604
  Authorized official Same address or phone

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235106212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 N BEERS ST",
            "address_2": "SUITE 1-E",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331522",
            "telephone_number": "732-739-4414",
            "fax_number": "732-739-9537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 N BEERS ST",
            "address_2": "SUITE 1-E",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331522",
            "telephone_number": "732-739-4414",
            "fax_number": "732-739-9537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ASSOCIATES OF HOLMDEL,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOHAN",
        "authorized_official_first_name": "KUSUM",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "732-739-4414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tulsi Dilip Patel, MD
• Sapna Patla, DDS
• Jenifer Paulino, MS
• Nathaniel A Peardon, D.O.
• Anne Ruston Pearl, M.D.
• Penesetti Prasad MD Et Al (Holmdel Cardiology Associates)
• Robert P Penney, M.D.,F.A.C.O.G.
• Jessie Perito
• Beth Perosi
• Jessica Michele Perrella, MSW M.ED LCSW

• Pediatrics Physician in Holmdel, NJ
• Providers in Holmdel, NJ by specialty
• Pediatrics Physician in New Jersey

• 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.