Organization Active NPI

Woodbury Pediatrics, LLC

  • Pediatric Adolescent Medicine Physician
  • Woodbury Heights, NJ
National Provider Identifier
1316178601
Registry record updated Aug 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
Legal business name
WOODBURY PEDIATRICS, LLC
Practice address
307 Glassboro Rd
Woodbury Heights, NJ 08097-1018
Phone
(856) 853-0848
Fax
(856) 853-1889
NPI assigned
Aug 4, 2009
Last updated
Aug 4, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2009

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

Authorized official

Name
Dr. Benjamin Piantedosi, MDNPI 1205912144
Title
Co Owner
Phone
(856) 853-0848

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X NU Primary

Addresses

Primary practice location

307 Glassboro Rd
Woodbury Heights, NJ 08097-1018

Mailing address

307 Glassboro Rd
Woodbury Heights, NJ 08097-1018
Phone (856) 853-0848

National Provider Directory

National Provider Directory

Locations

344 Glassboro Rd
Woodbury Heights, NJ 08097
Phone (856) 848-5388

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1249344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249344000000",
    "number": "1316178601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 GLASSBORO RD",
            "city": "WOODBURY HEIGHTS",
            "state": "NJ",
            "postal_code": "080971018",
            "telephone_number": "856-853-0848",
            "fax_number": "856-853-1889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 GLASSBORO RD",
            "city": "WOODBURY HEIGHTS",
            "state": "NJ",
            "postal_code": "080971018",
            "telephone_number": "856-853-0848",
            "fax_number": "856-853-1889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODBURY PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-04",
        "last_updated": "2009-08-04",
        "status": "A",
        "authorized_official_last_name": "PIANTEDOSI",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "856-853-0848",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury Heights, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2009; 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.