Academy Pediatrics, PA

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MA64214 Issued in NJ

Legal business name

ACADEMY PEDIATRICS, PA

Practice address

25 Kilmer Dr
Morganville, NJ 07751-1564

Phone

(732) 617-8888

Fax

(732) 617-8880

NPI assigned

Oct 2, 2007

Last updated

Oct 2, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Yuliya Bakshiyev, MDNPI 1609947340

Title

President

Phone

(732) 617-8888

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Yuliya Bakshiyev, MD

  • Pediatrics Physician
  • Morganville, NJ
  • NPI 1609947340
  Authorized official Same address or phone

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191283200000",
    "number": "1336336486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 KILMER DR",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077511564",
            "telephone_number": "732-617-8888",
            "fax_number": "732-617-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 KILMER DR",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077511564",
            "telephone_number": "732-617-8888",
            "fax_number": "732-617-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADEMY PEDIATRICS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2007-10-02",
        "status": "A",
        "authorized_official_last_name": "BAKSHIYEV",
        "authorized_official_first_name": "YULIYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-617-8888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "MA64214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6969202",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• A Branch Above ABA Therapy Inc
• A Help at Home Care Inc
• Stephen Abbaticchio, DDS
• Abilities Oasis LLC
• Christy Abrams, RN, IBCLC
• Acumeridian Wellness LLC
• Adrivona Optical, Inc. (Sterling Optical)
• Advance Physical Therapy & Rehabilitation LLC
• Advanced Medicine PC
• Advancing Opportunities, Inc.

• Pediatrics Physician in Morganville, NJ
• Providers in Morganville, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; 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.