Avenue Pediatrics, LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

AVENUE PEDIATRICS, LLC

Practice address

1140 Bloomfield Ave
Suite 213
West Caldwell, NJ 07006-7130

Phone

(973) 228-6302

Fax

(973) 228-6305

NPI assigned

Mar 18, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Sophia Gigos-Costeas, MDNPI 1013977651

Title

Owner

Phone

(973) 228-6302

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Sophia Gigos-Costeas, M.D.

  • Pediatrics Physician
  • Scarsdale, NY
  • NPI 1013977651
  NPD (past) Authorized official
• Mojisola Adaramola, MD

  • Pediatrics Physician
  • West Caldwell, NJ
  • NPI 1821286436
  NPD (past)

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

{
    "created_epoch": "1395100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441065600000",
    "number": "1265859094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 BLOOMFIELD AVE",
            "address_2": "SUITE 213",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070067130",
            "telephone_number": "973-228-6302",
            "fax_number": "973-228-6305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 BLOOMFIELD AVE",
            "address_2": "SUITE 213",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070067130",
            "telephone_number": "973-228-6302",
            "fax_number": "973-228-6305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVENUE PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-18",
        "last_updated": "2015-09-01",
        "status": "A",
        "authorized_official_last_name": "GIGOS-COSTEAS",
        "authorized_official_first_name": "SOPHIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-228-6302",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven I Arkoff, D.D.S.
• Lauren Marie Armenti
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• Morgan Atanasio, DDS
• Atlantic Ophthalmology & Cosmetic Eyelid Surgery
• Avrill Roy Berkman, M.D., P.a.
• Dona Baldassarre-Caamano
• Ericka Baptiste
• Diane Deneka Barnes, PT, MS, PCS
• Barrett Behavioral Health Corp

• Pediatrics Physician in West Caldwell, NJ
• Providers in West Caldwell, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2015; 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.