Organization Active NPI

Good Care Pediatrics, LLC

  • Pediatrics Physician
  • Newark, NJ
National Provider Identifier
1245980952
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
GOOD CARE PEDIATRICS, LLC
Practice address
374 Chestnut St Ste a
Newark, NJ 07105-2495
Phone
(973) 902-3116
Fax
(580) 297-9263
NPI assigned
Mar 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Authorized official

Name
Poliana P Da Silva, MD
Title
Owner
Phone
(973) 392-8802

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

374 Chestnut St Ste a
Newark, NJ 07105-2495

Mailing address

374 Chestnut St Ste a
Newark, NJ 07105-2495
Phone (973) 902-3116

Other identifiers 1

IdentifierTypeStateIssuer
FD0248042OtherDEA NUMBER

National Provider Directory

National Provider Directory

Locations

254 Easton Ave
New Brunswick, NJ 08901
Phone (732) 565-5453

292 Lafayette St
Ste 1
Newark, NJ 07105
Phone (973) 902-3116

374 Chestnut St
Ste A
Newark, NJ 07105
Phone (862) 370-9004

NPI Registry JSON

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

{
    "created_epoch": "1648166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698710400000",
    "number": "1245980952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "374 CHESTNUT ST STE A",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071052495",
            "telephone_number": "973-902-3116",
            "fax_number": "580-297-9263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "374 CHESTNUT ST STE A",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071052495",
            "telephone_number": "973-902-3116",
            "fax_number": "580-297-9263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD CARE PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-25",
        "last_updated": "2023-10-31",
        "certification_date": "2022-05-10",
        "status": "A",
        "authorized_official_last_name": "DA SILVA",
        "authorized_official_first_name": "POLIANA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-392-8802",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEA NUMBER",
            "identifier": "FD0248042",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; 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.