Robbinsville and Bordentown Pediatrics

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ROBBINSVILLE AND BORDENTOWN PEDIATRICS

Practice address

231 Crosswicks Rd Ste 11
Bordentown, NJ 08505-2602

Phone

(609) 298-7204

Fax

(609) 298-0491

NPI assigned

Sep 23, 2015

Last updated

Sep 23, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Prathibha Potharlanka, M.D.

Title

Presidebt

Phone

(856) 465-7728

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1442966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442966400000",
    "number": "1609245315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 BELMONT CIR",
            "city": "COLUMBUS",
            "state": "NJ",
            "postal_code": "080229714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 CROSSWICKS RD STE 11",
            "city": "BORDENTOWN",
            "state": "NJ",
            "postal_code": "085052602",
            "telephone_number": "609-298-7204",
            "fax_number": "609-298-0491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBBINSVILLE AND BORDENTOWN PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-23",
        "last_updated": "2015-09-23",
        "status": "A",
        "authorized_official_last_name": "POTHARLANKA",
        "authorized_official_first_name": "PRATHIBHA",
        "authorized_official_title_or_position": "PRESIDEBT",
        "authorized_official_telephone_number": "856-465-7728",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Bordentown, NJ
• Providers in Bordentown, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2015; 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.