Active NPI
Pediatric Associates of Central Jersey PA
- Pediatrics Physician
- Metuchen, NJ
National Provider Identifier
1346275849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MA 48162
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MA 39053 | NJ | |
| Pediatrics Physician | 208000000X | MA 48162 | NJ | Primary |
| Pediatrics Physician | 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 DirectoryLocations
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.