Santa Clara Pediatric Corporation

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

25MA08433000 Issued in NJ

Legal business name

SANTA CLARA PEDIATRIC CORPORATION

Practice address

7524 Kennedy Blvd
North Bergen, NJ 07047-4037

Phone

(201) 758-0290

NPI assigned

Aug 13, 2008

Organization subpart

No

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

Authorized official

Name

Damaris Alejandra Eguino Conde, M.DNPI 1376708263

Title

Medicine Doctor

Phone

(201) 758-0290

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

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

• Damaris Alejandra Eguino Conde, M.D.

  • Pediatrics Physician
  • North Bergen, NJ
  • NPI 1376708263
  NPD (past) Authorized official
• Humberto Jose Conde, MD

  • Pediatrics Physician
  • North Bergen, NJ
  • NPI 1528336856
  NPD (past)

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

{
    "created_epoch": "1218585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218585600000",
    "number": "1285880047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7524 KENNEDY BLVD",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070474037",
            "telephone_number": "201-758-0290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7524 KENNEDY BLVD",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070474037",
            "telephone_number": "201-758-0290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA CLARA PEDIATRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-13",
        "last_updated": "2008-08-13",
        "status": "A",
        "authorized_official_last_name": "EGUINO CONDE",
        "authorized_official_first_name": "DAMARIS",
        "authorized_official_middle_name": "ALEJANDRA",
        "authorized_official_title_or_position": "MEDICINE DOCTOR",
        "authorized_official_telephone_number": "201-758-0290",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA08433000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakshmi Bhargavi Sahini
• Rajdeep K Saini, M.D.
• Lauradis Salas, LMT
• Maria Laura Salkind
• Marta Gisselle Sandres-Corwin
• Milagros Santiago
• Kindell Saunders, COTA
• Sylvia Sawires, DMD
• Morgan Joy Schliem
• Lorna Roco Schneider, APN

• Pediatrics Physician in North Bergen, NJ
• Providers in North Bergen, 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 Aug 13, 2008; 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.