Organization Active NPI

Pediatric Associates of Central Jersey PA

  • Pediatrics Physician
  • Metuchen, NJ
National Provider Identifier
1346275849
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MA 48162 Issued in NJ
Legal business name
PEDIATRIC ASSOCIATES OF CENTRAL JERSEY PA
Practice address
326 Main St
Metuchen, NJ 08840-2431
Phone
(732) 767-0630
Fax
(732) 767-3070
NPI assigned
Jul 12, 2006
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
Mrs. Janet V Spanko, RN, OM
Title
Office Manager
Phone
(732) 767-0526

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X MA 39053 NJ
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X MA 48162 NJ Primary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X MA 48133 NJ

Addresses

Primary practice location

326 Main St
Metuchen, NJ 08840-2431

Mailing address

326 Main St
Metuchen, NJ 08840-2431
Phone (732) 767-0630

National Provider Directory

National Provider Directory

Locations

326 Main St
Metuchen, NJ 08840
Phone (732) 767-0630

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346275849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 MAIN ST",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088402431",
            "telephone_number": "732-767-0630",
            "fax_number": "732-767-3070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 MAIN ST",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088402431",
            "telephone_number": "732-767-0630",
            "fax_number": "732-767-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ASSOCIATES OF CENTRAL JERSEY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SPANKO",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "732-767-0526",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, OM"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "MA 39053",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "MA 48162",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "MA 48133",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metuchen, 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.