NPIMap

Organization Active NPI

Son Light Pediatrics

  • Primary Care Clinic/Center
  • Willingboro, NJ
National Provider Identifier
1366153447
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
SON LIGHT PEDIATRICS
Practice address
621 Beverly Rancocas Rd Ste 2D
Willingboro, NJ 08046-3727
Phone
(609) 877-6800
NPI assigned
Dec 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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

Authorized official

Name
Sylvie Felix, APNNPI 1538620968
Title
Owner
Phone
(973) 932-6264

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

621 Beverly Rancocas Rd Ste 2D
Willingboro, NJ 08046-3727

Mailing address

621 Beverly Rancocas Rd Ste 2D
Willingboro, NJ 08046-3727
Phone (609) 877-6800

Other names 1

  • Son Light Medical Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1670457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670457600000",
    "number": "1366153447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 BEVERLY RANCOCAS RD STE 2D",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080463727",
            "telephone_number": "609-877-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 BEVERLY RANCOCAS RD STE 2D",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080463727",
            "telephone_number": "609-877-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SON LIGHT PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-08",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A",
        "authorized_official_last_name": "FELIX",
        "authorized_official_first_name": "SYLVIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-932-6264",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Son Light Medical",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Willingboro, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; 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.