Organization Active NPI

Whitehorse Pediatrics

  • Preferred Provider Organization
  • Trenton, NJ
National Provider Identifier
1477766137
Registry record updated Aug 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
25MA06970700 Issued in NJ
Legal business name
WHITEHORSE PEDIATRICS
Practice address
445 White Horse Ave
Suite 204a
Trenton, NJ 08610-1408
Phone
(609) 585-1234
Fax
(609) 585-1070
NPI assigned
May 8, 2007
Last updated
Aug 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2008

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

Authorized official

Name
Dr. Parvin Alizadeh, M.D.
Title
Pediatrician
Phone
(609) 585-1234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 25MA06970700 NJ Primary

Addresses

Primary practice location

445 White Horse Ave
Suite 204a
Trenton, NJ 08610-1408

Mailing address

445 White Horse Ave
Suite 204a
Trenton, NJ 08610-1408
Phone (609) 585-1234

Other identifiers 1

IdentifierTypeStateIssuer
8312401MedicaidNJ

Other names 1

  • Parvin Alizadeh MD PA Other name

National Provider Directory

National Provider Directory

Locations

445 Whitehorse Ave
Ste 204A
Trenton, NJ 08610
Phone (609) 585-1234

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218585600000",
    "number": "1477766137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 WHITE HORSE AVE",
            "address_2": "SUITE 204A",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086101408",
            "telephone_number": "609-585-1234",
            "fax_number": "609-585-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 WHITE HORSE AVE",
            "address_2": "SUITE 204A",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086101408",
            "telephone_number": "609-585-1234",
            "fax_number": "609-585-1070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITEHORSE PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2008-08-13",
        "status": "A",
        "authorized_official_last_name": "ALIZADEH",
        "authorized_official_first_name": "PARVIN",
        "authorized_official_title_or_position": "PEDIATRICIAN",
        "authorized_official_telephone_number": "609-585-1234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NJ",
            "license": "25MA06970700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8312401",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parvin Alizadeh MD PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Trenton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.