Organization Active NPI

DRS.Medina and Margallo Pediatric Associates

  • Pediatrics Physician
  • Turnersville, NJ
National Provider Identifier
1295864692
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA05665900 Issued in NJ
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

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
Dr. Evangeline Cobin Margallo, M.D.
Title
Partner
Phone
(856) 228-1103

Specialties & licenses 1

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

Locations

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.

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.

Verify at the official NPI Registry.