Somerset Pediatric Group, LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

SOMERSET PEDIATRIC GROUP, LLC

Practice address

575 Route 28 Ste 2100
Raritan, NJ 08869-1363

Phone

(908) 725-1802

Fax

(908) 203-8825

NPI assigned

Oct 27, 2006

Organization subpart

No

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

Authorized official

Name

Holly Parlavecchio, RN

Title

Chief Administrative Officer

Phone

(908) 725-5530

Specialties & licenses 2

Addresses

Other identifiers 1

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

CLIA laboratory certificates

Locations

Practitioners 58

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

• Abigail Ettinger, D.O.

  • Pediatrics Physician
  • Raritan, NJ
  • NPI 1871924670

  Single Specialty

  NPD
• Arlene Michelle Goodman, M.D.

  • Pediatrics Physician
  • Raritan, NJ
  • NPI 1629274865

  Pediatrics

  NPD
• Amanda Megan Hansen, APN

  • Pediatric Nurse Practitioner
  • Raritan, NJ
  • NPI 1952039380
  NPD
• Julia Higashio

  • Pediatric Nurse Practitioner
  • Raritan, NJ
  • NPI 1952958340
  NPD
• Yu-Yun Huang

  • Pediatrics Physician
  • Raritan, NJ
  • NPI 1184156051

  Pediatrics

  NPD
• Melissa Marie Keiser, PEDIATRIC NURSE PRAC

  • Pediatric Nurse Practitioner
  • Raritan, NJ
  • NPI 1952960114
  NPD
• Shooja Manzoor, MD

  • Pediatrics Physician
  • Raritan, NJ
  • NPI 1659442226

  Pediatrics

  NPD
• Radhika Mathew, APN

  • Pediatric Nurse Practitioner
  • Raritan, NJ
  • NPI 1457190035
  NPD
• Krupali Patel, MD

  • Pediatrics Physician
  • Highland Park, NJ
  • NPI 1770012353

  Multi-Specialty

  NPD
• Parul Niranjan Patel, MD

  • Pediatrics Physician
  • Raritan, NJ
  • NPI 1124469556

  Pediatrics

  NPD
• Laura Wang, CRNP

  • Pediatric Nurse Practitioner
  • Raritan, NJ
  • NPI 1437500212
  NPD
• Daniel Abraham, M.D.

  • Pediatrics Physician
  • Warren, NJ
  • NPI 1861436867

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622764800000",
    "number": "1306922992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 ROUTE 28 STE 2205",
            "city": "RARITAN",
            "state": "NJ",
            "postal_code": "088691363",
            "telephone_number": "908-725-5530",
            "fax_number": "908-253-6559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 ROUTE 28 STE 2100",
            "city": "RARITAN",
            "state": "NJ",
            "postal_code": "088691363",
            "telephone_number": "908-725-1802",
            "fax_number": "908-203-8825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMERSET PEDIATRIC GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A",
        "authorized_official_last_name": "PARLAVECCHIO",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "908-725-5530",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2080S0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2622807",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Ann Slapa, PSY.D.
• Valerie Myrna Smith
• Gary Snitkin, PTA
• Somerset Cardiocare
• Somerset Home Care and Medical Staffing LLC
• Somerset Physical Therapy Group, LLC
• Somerset Rehabilitation Services, P.a.
• Somerset Spine & Wellness Group, PC
• Somerset Surgical Associates,LLC
• Somerville Family Eyecare LLC

• All providers in Raritan, NJ
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2021; 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.