Pediatric Nephrology at Saint

Primary specialty

Pediatric Nephrology PhysicianTaxonomy code 2080P0210X

Legal business name

PEDIATRIC NEPHROLOGY AT SAINT

Practice address

94 Old Short Hills Rd
Livingston, NJ 07039-5672

Phone

(973) 322-5264

Fax

(973) 322-2315

NPI assigned

May 4, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Patrick Ahearn

Title

Director

Phone

(732) 557-7119

Specialties & licenses 1

Addresses

Other identifiers 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Cooperman Barnabas Medical Center Inc

  • General Acute Care Hospital
  • Livingston, NJ
  • NPI 1396857488

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Noosha Baqi, M.D.

  • Pediatric Nephrology Physician
  • Fajardo, PR
  • NPI 1275594715
  NPD (past)

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277251200000",
    "number": "1245288000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18239",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071918239",
            "telephone_number": "732-557-7160",
            "fax_number": "732-557-7109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 OLD SHORT HILLS RD",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070395672",
            "telephone_number": "973-322-5264",
            "fax_number": "973-322-2315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC NEPHROLOGY AT SAINT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2010-06-23",
        "status": "A",
        "authorized_official_last_name": "AHEARN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "732-557-7119",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2080P0210X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7383207",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donna Paulk, PA
• Shonali C Pawar, M.D
• Pediatric Critical Care Associates at Saint Barnabas
• Pediatric Eye Associates
• Pediatric Hematology Oncology Associates St Barnabas Medical Ctr
• Pediatric Specialty Group at the Ambulatory Care Center
• Linda Maria Pelaez, M.D.
• Martin Pena Jr., LSW
• Madhavi Pentyala, M.D.
• Jennifer Renee Peos, MD

• Pediatric Nephrology Physician in Livingston, NJ
• Providers in Livingston, NJ by specialty
• Pediatric Nephrology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2010; 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.