Organization Active NPI

Ipediatrics

  • Pediatric Registered Nurse
  • Lake Hopatcong, NJ
National Provider Identifier
1255675393
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Registered NurseTaxonomy code 163WP0200X
Legal business name
IPEDIATRICS
Practice address
21 Bowling Green Pkwy
Suite 202
Lake Hopatcong, NJ 07849-3200
Phone
(973) 663-1143
NPI assigned
Nov 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2012

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

Authorized official

Name
Kristen Depuyt, APN
Title
Partner/Co-Owner
Phone
(973) 663-1143

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WP0200X Primary

Addresses

Primary practice location

21 Bowling Green Pkwy
Suite 202
Lake Hopatcong, NJ 07849-3200

Mailing address

21 Bowling Green Pkwy
Suite 202
Lake Hopatcong, NJ 07849-3200
Phone (973) 663-1143

National Provider Directory

National Provider Directory

Locations

21 Bowling Green Pkwy
Ste 202
Lake Hopatcong, NJ 07849
Phone (973) 663-1143

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1255675393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 BOWLING GREEN PKWY",
            "address_2": "SUITE 202",
            "city": "LAKE HOPATCONG",
            "state": "NJ",
            "postal_code": "078493200",
            "telephone_number": "973-663-1143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 BOWLING GREEN PKWY",
            "address_2": "SUITE 202",
            "city": "LAKE HOPATCONG",
            "state": "NJ",
            "postal_code": "078493200",
            "telephone_number": "973-663-1143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IPEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "DEPUYT",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "PARTNER/CO-OWNER",
        "authorized_official_telephone_number": "973-663-1143",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Hopatcong, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; 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.