Mondestin Pediatrics LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

MONDESTIN PEDIATRICS LLC

Practice address

40 Fuld St Ste 301
Trenton, NJ 08638-5247

Phone

(609) 989-9125

NPI assigned

Sep 9, 2019

Organization subpart

No

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

Authorized official

Name

Kalyan Yamijala

Title

Biller

Phone

(732) 925-7542

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1567987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567987200000",
    "number": "1518516814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 FULD ST STE 301",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086385247",
            "telephone_number": "609-989-9125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 FULD ST STE 301",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086385247",
            "telephone_number": "609-989-9125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONDESTIN PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-09",
        "last_updated": "2019-09-09",
        "status": "A",
        "authorized_official_last_name": "YAMIJALA",
        "authorized_official_first_name": "KALYAN",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "732-925-7542"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mobile Physiocare
• Abdulkerim Seid Mohammed
• Vinuta Mohan, MD
• Rehema Moke, REGISTERED NURSE
• Reem Mokhmalji
• Harry J. Mondestin, MD
• Marina Monpere, APN
• Patricia Montigros, APN C
• Kenneth Michael Montini, M.D.
• Cyndi Marie Moolekamp, MS, LAC

• Pediatrics Physician in Trenton, NJ
• Providers in Trenton, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2019; 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.