Organization Active NPI

Hilltop Pediatrics PC

  • Pediatric Adolescent Medicine Physician
  • Summit, NJ
National Provider Identifier
1407982317
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
25MA04870100 Issued in NJ
Legal business name
HILLTOP PEDIATRICS PC
Practice address
33 Overlook Road
Suite 304
Summit, NJ 07901-3563
Phone
(908) 598-0190
Fax
(908) 598-1820
NPI assigned
Feb 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Richard George Lon, MD
Title
President
Phone
(908) 598-0190

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080A0000X 25MA04870100 NJ Primary

Addresses

Primary practice location

33 Overlook Road
Suite 304
Summit, NJ 07901-3563

Mailing address

33 Overlook Road
Suite 304
Summit, NJ 07901-3563
Phone (908) 598-0190

Other identifiers 1

IdentifierTypeStateIssuer
01091547MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407982317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 OVERLOOK ROAD",
            "address_2": "SUITE 304",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079013563",
            "telephone_number": "908-598-0190",
            "fax_number": "908-598-1820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 OVERLOOK ROAD",
            "address_2": "SUITE 304",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079013563",
            "telephone_number": "908-598-0190",
            "fax_number": "908-598-1820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLTOP PEDIATRICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-598-0190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NJ",
            "license": "25MA04870100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01091547",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Summit, NJ

Sources for this page

  • 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.