Active NPI
Pediatric Associates of Shrewsbury
- Pediatrics Physician
- Shrewsbury, NJ
National Provider Identifier
1437175593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- PEDIATRIC ASSOCIATES OF SHREWSBURY
- Practice address
- 175 Patterson Ave
Shrewsbury, NJ 07702 - Phone
- (732) 741-3280
- Fax
- (732) 741-9450
- NPI assigned
- Jul 14, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Prakash S Lothe, MD
- Title
- President
- Phone
- (732) 741-3280
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
175 Patterson Ave
Shrewsbury, NJ 07702
Mailing address
175 Patterson Ave
Shrewsbury, NJ 07702
Phone (732) 741-3280
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2970007 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryLocations
175 Patterson Ave
Shrewsbury, NJ 07702
Phone (732) 747-4600
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Shrewsbury, NJ
- NPI 1164451043
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1437175593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 PATTERSON AVE",
"city": "SHREWSBURY",
"state": "NJ",
"postal_code": "07702",
"telephone_number": "732-741-3280",
"fax_number": "732-741-9450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 PATTERSON AVE",
"city": "SHREWSBURY",
"state": "NJ",
"postal_code": "07702",
"telephone_number": "732-741-3280",
"fax_number": "732-741-9450"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEDIATRIC ASSOCIATES OF SHREWSBURY",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-14",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "LOTHE",
"authorized_official_first_name": "PRAKASH",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "732-741-3280",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2970007",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shrewsbury, 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.