Organization Active NPI

Midatlantic Neonatology Associates

  • Neonatal-Perinatal Medicine Physician
  • Cedar Knolls, NJ
National Provider Identifier
1376782060
Registry record updated Oct 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
Legal business name
MIDATLANTIC NEONATOLOGY ASSOCIATES
Practice address
140 E Hanover Ave
Brinj BLDG
Cedar Knolls, NJ 07927-2011
Phone
(973) 605-8055
NPI assigned
Feb 19, 2009
Last updated
Oct 12, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2015

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

Authorized official

Name
Janet Delvecchio, M.P.A.
Title
Director of Billing
Phone
(973) 605-8055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X NJ Primary

Addresses

Primary practice location

140 E Hanover Ave
Brinj BLDG
Cedar Knolls, NJ 07927-2011

Mailing address

140 E Hanover Ave
Brinj BLDG
Cedar Knolls, NJ 07927-2011
Phone (973) 605-8055

Other identifiers 1

IdentifierTypeStateIssuer
6435505MedicaidNJ

National Provider Directory

National Provider Directory

Locations

140 E Hanover Ave
Cedar Knolls, NJ 07927
Phone (718) 360-7534

NPI Registry JSON

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

{
    "created_epoch": "1235001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444608000000",
    "number": "1376782060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 E HANOVER AVE",
            "address_2": "BRINJ BLDG",
            "city": "CEDAR KNOLLS",
            "state": "NJ",
            "postal_code": "079272011",
            "telephone_number": "973-605-8055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 E HANOVER AVE",
            "address_2": "BRINJ BLDG",
            "city": "CEDAR KNOLLS",
            "state": "NJ",
            "postal_code": "079272011",
            "telephone_number": "973-605-8055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDATLANTIC NEONATOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-19",
        "last_updated": "2015-10-12",
        "status": "A",
        "authorized_official_last_name": "DELVECCHIO",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING",
        "authorized_official_telephone_number": "973-605-8055",
        "authorized_official_credential": "M.P.A."
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6435505",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Knolls, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2015; 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.