Center for Childhood and Neonatal Surgery

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

25MP00040000 Issued in NJ

Legal business name

CENTER FOR CHILDHOOD AND NEONATAL SURGERY

Practice address

90 Bergen St. Suite 7100
Newark, NJ 07103

Phone

(973) 972-0212

Fax

(973) 972-1204

NPI assigned

May 22, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Emily S. Tan, PANPI 1093925240

Title

Physician Assistant

Phone

(973) 972-0212

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Emily S. Tan, PA-C

  • Physician Assistant
  • Newark, NJ
  • NPI 1093925240
  NPD (past) Authorized official

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487863668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 SALEM ST",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202414",
            "telephone_number": "973-972-0212",
            "fax_number": "973-972-1204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 BERGEN ST. SUITE 7100",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "07103",
            "telephone_number": "973-972-0212",
            "fax_number": "973-972-1204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR CHILDHOOD AND NEONATAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TAN",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "973-972-0212",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NJ",
            "license": "25MP00040000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CCS - Partenership for Children
• Gabriela Cristina Celeiro, LICENSED CLINICAL SO
• Latoya Celestine, APN
• Joseph Celidonio
• David John Cennimo, MD
• Center for Health Healing and Integrative Medicine LLC
• Center for Oral Implantology and Rehabilitation of North Jersey
• Center for Wound Science and Healing
• Central Avenue Professional Services, PC
• Central Jersey Medical Center, Inc

• General Acute Care Hospital in Newark, NJ
• Providers in Newark, NJ by specialty
• General Acute Care Hospital in New Jersey

• 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.