Organization Active NPI

Contemporary Pediatric & Adolescent Medicine, PC

  • Pediatrics Physician
  • Mercerville, NJ
National Provider Identifier
1265484976
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
CONTEMPORARY PEDIATRIC & ADOLESCENT MEDICINE, PC
Practice address
1225 Whitehorse Mercerville Rd
BLDG D Suite 203
Mercerville, NJ 08619-3882
Phone
(609) 581-5100
Fax
(609) 581-5134
NPI assigned
May 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Elliott Saltstein, MD
Title
President
Phone
(609) 581-5100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

1225 Whitehorse Mercerville Rd
BLDG D Suite 203
Mercerville, NJ 08619-3882

Mailing address

1225 Whitehorse Mercerville Rd
BLDG D Suite 203
Mercerville, NJ 08619-3882
Phone (609) 581-5100

Other identifiers 1

IdentifierTypeStateIssuer
6939708MedicaidNJ

National Provider Directory

National Provider Directory

Locations

1225 Whitehorse Mercerville Rd
Ste 203
Trenton, NJ 08619
Phone (609) 581-5100

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265484976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 WHITEHORSE MERCERVILLE RD",
            "address_2": "BLDG D SUITE 203",
            "city": "MERCERVILLE",
            "state": "NJ",
            "postal_code": "086193882",
            "telephone_number": "609-581-5100",
            "fax_number": "609-581-5134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 WHITEHORSE MERCERVILLE RD",
            "address_2": "BLDG D SUITE 203",
            "city": "MERCERVILLE",
            "state": "NJ",
            "postal_code": "086193882",
            "telephone_number": "609-581-5100",
            "fax_number": "609-581-5134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONTEMPORARY PEDIATRIC & ADOLESCENT MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SALTSTEIN",
        "authorized_official_first_name": "ELLIOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-581-5100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6939708",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mercerville, NJ

Sources for this page

  • 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.