Organization Active NPI

Elmer Pediatrics of Mullica Hill

  • Pediatrics Physician
  • Mullica Hill, NJ
National Provider Identifier
1467527697
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
ELMER PEDIATRICS OF MULLICA HILL
Practice address
134 Bridgeton Pike
Suite E
Mullica Hill, NJ 08062
Phone
(856) 478-0399
NPI assigned
Nov 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Authorized official

Name
Hassan Salah, MD
Title
Med
Phone
(856) 459-2270

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

134 Bridgeton Pike
Suite E
Mullica Hill, NJ 08062

Mailing address

PO Box 189
Deerfield St, NJ 08313

National Provider Directory

National Provider Directory
Tax ID family
Elmer Pediatrics3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

134 Bridgeton Pike
Ste E
Mullica Hill, NJ 08062
Phone (856) 478-0399

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1467527697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 189",
            "city": "DEERFIELD ST",
            "state": "NJ",
            "postal_code": "08313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 BRIDGETON PIKE",
            "address_2": "SUITE E",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "08062",
            "telephone_number": "856-478-0399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELMER PEDIATRICS OF MULLICA HILL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "SALAH",
        "authorized_official_first_name": "HASSAN",
        "authorized_official_title_or_position": "MED",
        "authorized_official_telephone_number": "856-459-2270",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mullica Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.