Active NPI
Perfecting Peds
- Pharmacist
- Haddon Heights, NJ
National Provider Identifier
1497463434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- Legal business name
- PERFECTING PEDS
- Practice address
- 1611 Oak Ave
Haddon Heights, NJ 08035-1511 - Phone
- (856) 217-7533
- Fax
- (302) 355-3787
- NPI assigned
- Nov 8, 2022
- Last updated
- Nov 8, 2022
- 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
- Jena Diane Quinn, PHARMD
- Title
- Ceo
- Phone
- (856) 217-7533
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | Primary |
Addresses
Primary practice location
1611 Oak Ave
Haddon Heights, NJ 08035-1511
Mailing address
1611 Oak Ave
Haddon Heights, NJ 08035-1511
Phone (856) 217-7533
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790451847 | Medicaid | NJ |
Other names 1
- perfecting peds
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Pharmacist
- Haddon Heights, NJ
- NPI 1790451847
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667865600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1667865600000",
"number": "1497463434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1611 OAK AVE",
"city": "HADDON HEIGHTS",
"state": "NJ",
"postal_code": "080351511",
"telephone_number": "856-217-7533",
"fax_number": "302-355-3787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1611 OAK AVE",
"city": "HADDON HEIGHTS",
"state": "NJ",
"postal_code": "080351511",
"telephone_number": "856-217-7533",
"fax_number": "302-355-3787"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PERFECTING PEDS",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-08",
"last_updated": "2022-11-08",
"certification_date": "2022-11-08",
"status": "A",
"authorized_official_last_name": "QUINN",
"authorized_official_first_name": "JENA",
"authorized_official_middle_name": "DIANE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "856-217-7533",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1790451847",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "perfecting peds",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Haddon Heights, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.