Trinity Pediatrics, LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

25MA70103 Issued in NJ

Legal business name

TRINITY PEDIATRICS, LLC

Practice address

2333 Morris Ave
Suite B218
Union, NJ 07083-5714

Phone

(908) 810-8551

Fax

(908) 810-8661

NPI assigned

May 1, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kia Calhoun Grundy, M.D.

Title

Owner

Phone

(908) 810-8551

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/4090/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386865772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2333 MORRIS AVE",
            "address_2": "SUITE B218",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070835714",
            "telephone_number": "908-810-8551",
            "fax_number": "908-810-8661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 MORRIS AVE",
            "address_2": "SUITE B218",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070835714",
            "telephone_number": "908-810-8551",
            "fax_number": "908-810-8661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRUNDY",
        "authorized_official_first_name": "KIA",
        "authorized_official_middle_name": "CALHOUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-810-8551",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA70103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatrics Physician in Union, NJ
• Providers in Union, NJ by specialty
• Pediatrics Physician in New Jersey

• 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.