East Brunswick Pediatrics Associated

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

Legal business name

EAST BRUNSWICK PEDIATRICS ASSOCIATED

Doing business as

Mid-Jersey Pediatrics, P.a.

Practice address

33 Brunswick Woods Dr
East Brunswick, NJ 08816-5601

Phone

(732) 257-4330

Fax

(732) 257-5986

NPI assigned

Oct 13, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Colleen L Dougherty

Title

Billing Department

Phone

(732) 257-4330

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MID-JERSEY PEDIATRICS, P.A. Doing business as

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.

• Boram Sung, M.D.

  • Pediatric Adolescent Medicine Physician
  • East Brunswick, NJ
  • NPI 1235373010
  NPD (past)

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234828800000",
    "number": "1528158409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 BRUNSWICK WOODS DR",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165601",
            "telephone_number": "732-257-4330",
            "fax_number": "732-257-5986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 BRUNSWICK WOODS DR",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165601",
            "telephone_number": "732-257-4330",
            "fax_number": "732-257-5986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST BRUNSWICK PEDIATRICS ASSOCIATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2009-02-17",
        "status": "A",
        "authorized_official_last_name": "DOUGHERTY",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLING DEPARTMENT",
        "authorized_official_telephone_number": "732-257-4330",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2838508",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MID-JERSEY PEDIATRICS, P.A.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• East Brunswick Imaging Associates LLC
• East Brunswick Imaging Center LLC
• East Brunswick New Image Dental LLC
• East Brunswick Open Upright MRI LLC (Imagecare at East Brunswick Open Upright MRI)
• East Brunswick Orthopedic Associates LLC
• East Brunswick Periodontics and Dental Implants
• East Brunswick Physical Therapy
• East Brunswick Primary Care, PA
• East Brunswick Public Schools
• East Brunswick Rehabilitation LLC

• Pediatric Adolescent Medicine Physician in East Brunswick, NJ
• Providers in East Brunswick, NJ by specialty
• Pediatric Adolescent Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2009; 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.