Bernardsville Pediatrics, LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

25MA07685300 Issued in NJ

Legal business name

BERNARDSVILLE PEDIATRICS, LLC

Practice address

40 Morristown Rd Ste 2D
Bernardsville, NJ 07924-2310

Phone

(908) 766-5960

NPI assigned

Oct 12, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Vesna Nikodijevic, MDNPI 1952497224

Title

Member

Phone

(908) 766-5960

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/6928/brand/1/csg/1/fhir/r4

Practitioners 1

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

• Vesna Nikodijevic, M.D.

  • Pediatrics Physician
  • Bernardsville, NJ
  • NPI 1952497224
  NPD (past) Authorized official

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

{
    "created_epoch": "1350000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350000000000",
    "number": "1609128719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 MORRISTOWN RD STE 2D",
            "city": "BERNARDSVILLE",
            "state": "NJ",
            "postal_code": "079242310",
            "telephone_number": "908-766-5960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 MORRISTOWN RD STE 2D",
            "city": "BERNARDSVILLE",
            "state": "NJ",
            "postal_code": "079242310",
            "telephone_number": "908-766-5960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERNARDSVILLE PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-12",
        "last_updated": "2012-10-12",
        "status": "A",
        "authorized_official_last_name": "NIKODIJEVIC",
        "authorized_official_first_name": "VESNA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "908-766-5960",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA07685300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Ryan Bale-Pena, ATC, CSCS
• Maryam Banafti, MSW,LCSW
• Zachary Barnard, L.M.T.
• John M. Bearlepp, DDS
• Bernards Eye Care, LLC
• Lori M Brand-Abend, MD
• Rosemary A Burnett, OTR/L
• Caitlin Elaine Celebre, M.A., CCC-SLP
• Julia Eve Cha Fong, M.A, LAC
• Anjali Chand, MD

• Pediatrics Physician in Bernardsville, NJ
• Providers in Bernardsville, 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 Oct 12, 2012; 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.