Organization Active NPI

Saddle River Valley Family Practice

  • Pediatrics Physician
  • Paramus, NJ
National Provider Identifier
1336118041
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA07800500 Issued in NJ
Legal business name
SADDLE RIVER VALLEY FAMILY PRACTICE
Practice address
1 W Ridgewood Ave
Paramus, NJ 07652-2359
Phone
(201) 444-1733
Fax
(201) 447-9338
NPI assigned
Mar 15, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Dominga Sol Padilla, M.D.
Title
Physician
Phone
(201) 444-1733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 25MA07800500 NJ Primary

Addresses

Primary practice location

1 W Ridgewood Ave
Paramus, NJ 07652-2359

Mailing address

1 W Ridgewood Ave
Paramus, NJ 07652-2359
Phone (201) 444-1733

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336118041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W RIDGEWOOD AVE",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522359",
            "telephone_number": "201-444-1733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W RIDGEWOOD AVE",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522359",
            "telephone_number": "201-444-1733",
            "fax_number": "201-447-9338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SADDLE RIVER VALLEY FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PADILLA",
        "authorized_official_first_name": "DOMINGA",
        "authorized_official_middle_name": "SOL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "201-444-1733",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA07800500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, 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.