NPIMap

Organization Active NPI

Kinder Pediatrics, P.C.

  • Pediatrics Physician
  • Lakewood, NJ
National Provider Identifier
1396145041
Registry record updated Mar 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA08241700 Issued in NJ
Legal business name
KINDER PEDIATRICS, P.C.
Practice address
1201 River Ave Unit 10
Lakewood, NJ 08701-5676
Phone
(732) 775-0222
NPI assigned
Aug 31, 2014
Last updated
Mar 22, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2017

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

Authorized official

Name
Dr. William Fenster, M.D.NPI 1841482635
Title
Proprietor
Phone
(732) 730-0511

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
Pediatrics Physician 208000000X 25MA08241700 NJ Primary

Addresses

Primary practice location

1201 River Ave Unit 10
Lakewood, NJ 08701-5676

Mailing address

1201 River Ave Unit 10
Lakewood, NJ 08701-5676
Phone (732) 775-0222

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2087760Kinder Pediatrics, PC1201 River Avenue, Lakewood, NJ 08701ComplianceJan 2, 2027

National Provider Directory

National Provider Directory

Locations

1201 River Ave
Unit 10
Lakewood, NJ 08701
Phone (732) 775-0222

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1409443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490140800000",
    "number": "1396145041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 RIVER AVE UNIT 10",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015676",
            "telephone_number": "732-775-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 RIVER AVE UNIT 10",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015676",
            "telephone_number": "732-775-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDER PEDIATRICS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-31",
        "last_updated": "2017-03-22",
        "status": "A",
        "authorized_official_last_name": "FENSTER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "732-730-0511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA08241700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.