Organization Active NPI

Anita Kishen MD LLC

  • Pediatrics Physician
  • Colonia, NJ
National Provider Identifier
1457584971
Registry record updated Sep 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA08017500 Issued in NJ
Legal business name
ANITA KISHEN MD LLC
Practice address
805 Inman Ave
Colonia, NJ 07067-1433
Phone
(908) 821-5333
NPI assigned
Sep 1, 2009
Last updated
Sep 1, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2009

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

Authorized official

Name
Dr. Anita Kishen, MDNPI 1407989395
Title
Owner
Phone
(908) 889-4932

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 25MA08017500 NJ Primary

Addresses

Primary practice location

805 Inman Ave
Colonia, NJ 07067-1433

Mailing address

1743 Ramapo Way
Scotch Plains, NJ 07076-2319
Phone (908) 889-4932

National Provider Directory

National Provider Directory

Locations

795 Inman Ave
Colonia, NJ 07067
Phone (732) 499-8220

120 W 7th St
Ste 203
Plainfield, NJ 07060
Phone (908) 757-8687

Practitioners & affiliated clinicians

Practitioners 5

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": "1251763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251763200000",
    "number": "1457584971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1743 RAMAPO WAY",
            "city": "SCOTCH PLAINS",
            "state": "NJ",
            "postal_code": "070762319",
            "telephone_number": "908-889-4932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 INMAN AVE",
            "city": "COLONIA",
            "state": "NJ",
            "postal_code": "070671433",
            "telephone_number": "908-821-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANITA KISHEN MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-01",
        "last_updated": "2009-09-01",
        "status": "A",
        "authorized_official_last_name": "KISHEN",
        "authorized_official_first_name": "ANITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-889-4932",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA08017500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colonia, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2009; 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.