Organization Active NPI

Lotus Healthcare LLC

Doing business as Lotus Pediatrics

  • Pediatrics Physician
  • Jackson, NJ
National Provider Identifier
1245935022
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
LOTUS HEALTHCARE LLC
Doing business as
Lotus Pediatrics
Practice address
271 S New Prospect Rd Unit 104B
Jackson, NJ 08527-1763
Phone
(845) 269-2532
NPI assigned
Apr 3, 2023
Last updated
Apr 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Authorized official

Name
Dr. Manan Shah, MDNPI 1366999153
Title
Authorized Representative
Phone
(845) 269-2532

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 NU Primary

Addresses

Primary practice location

271 S New Prospect Rd Unit 104B
Jackson, NJ 08527-1763

Mailing address

24 Glynn CT
Parlin, NJ 08859-2501

Other names 1

  • Lotus Pediatrics Doing business as

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
31D2285243Lotus Pediatrics271 S New Prospect Road, Unit 104 B, Jackson, NJ 08527Certificate of waiverJul 9, 2027

National Provider Directory

National Provider Directory

Locations

271 S New Prospect Rd
Unit 104B
Jackson, NJ 08527
Phone (845) 269-2532

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1680480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680480000000",
    "number": "1245935022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 GLYNN CT",
            "city": "PARLIN",
            "state": "NJ",
            "postal_code": "088592501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 S NEW PROSPECT RD UNIT 104B",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085271763",
            "telephone_number": "845-269-2532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOTUS HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-03",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-02",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "MANAN",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "845-269-2532",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lotus Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jackson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; 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.