Pediatric Pulmonary Associates of Central New Jersey

Primary specialty

Pediatric Pulmonology PhysicianTaxonomy code 2080P0214X

License

25MA05142100 Issued in NJ

Legal business name

PEDIATRIC PULMONARY ASSOCIATES OF CENTRAL NEW JERSEY

Practice address

33 Overlook Rd
Suite 207
Summit, NJ 07901-3570

Phone

(908) 273-2300

Fax

(908) 273-4320

NPI assigned

Sep 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Michael R Bye, MD

Title

MD

Phone

(908) 273-2300

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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

• Mary Hewitt, CPNP

  • Pediatric Nurse Practitioner
  • Summit, NJ
  • NPI 1245338771
  NPD (past)
• Jeanne Horsey

  • Pediatric Nurse Practitioner
  • Summit, NJ
  • NPI 1992803274
  NPD (past)
• Michael Tyshkov, MD

  • Pediatric Gastroenterology Physician
  • Staten Island, NY
  • NPI 1902882038
  NPD (past)

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190246400000",
    "number": "1376739672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 OVERLOOK RD",
            "address_2": "SUITE 207",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079013570",
            "telephone_number": "908-273-2300",
            "fax_number": "908-273-4320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 OVERLOOK RD",
            "address_2": "SUITE 207",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079013570",
            "telephone_number": "908-273-2300",
            "fax_number": "908-273-4320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC PULMONARY ASSOCIATES OF CENTRAL NEW JERSEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2007-09-20",
        "status": "A",
        "authorized_official_last_name": "BYE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "908-273-2300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0214X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "NJ",
            "license": "25MA05142100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6551602",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erika Pavilus, MS, CGC
• Peak Wellness Family Chiropractic LLC
• Jerry Pecaro
• Kristen Peck, PH.D.
• Karina Pedetti, DO
• Pediatric Urgicare LLC
• Tasneem Peeraully, MD
• Caroline Pence, LCSW
• Rebecca Pennington, LAC
• Adryan Alexander Perez, MD

• Pediatric Pulmonology Physician in Summit, NJ
• Providers in Summit, NJ by specialty
• Pediatric Pulmonology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.