Active NPI
DRS.Medina and Margallo Pediatric Associates
- Pediatrics Physician
- Turnersville, NJ
National Provider Identifier
1295864692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 25MA05665900
- Legal business name
- DRS.MEDINA AND MARGALLO PEDIATRIC ASSOCIATES
- Practice address
- 900 Route 168
Suite J2
Turnersville, NJ 08012-3233 - Phone
- (856) 228-1103
- Fax
- (856) 374-1238
- NPI assigned
- Mar 4, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Evangeline Cobin Margallo, M.D.
- Title
- Partner
- Phone
- (856) 228-1103
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 25MA05665900 | NJ | Primary |
Addresses
Primary practice location
900 Route 168
Suite J2
Turnersville, NJ 08012-3233
Mailing address
900 Route 168
Suite J2
Turnersville, NJ 08012-3233
Phone (856) 228-1103
National Provider Directory
National Provider DirectoryLocations
900 Route 168
Ste J2
Turnersville, NJ 08012
Phone (856) 228-1103
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Turnersville, NJ
- NPI 1033245121
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172966400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1295864692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 ROUTE 168",
"address_2": "SUITE J2",
"city": "TURNERSVILLE",
"state": "NJ",
"postal_code": "080123233",
"telephone_number": "856-228-1103",
"fax_number": "856-374-1238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 ROUTE 168",
"address_2": "SUITE J2",
"city": "TURNERSVILLE",
"state": "NJ",
"postal_code": "080123233",
"telephone_number": "856-228-1103",
"fax_number": "856-374-1238"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DRS.MEDINA AND MARGALLO PEDIATRIC ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-04",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MARGALLO",
"authorized_official_first_name": "EVANGELINE",
"authorized_official_middle_name": "COBIN",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "856-228-1103",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "NJ",
"license": "25MA05665900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Turnersville, 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.