Individual provider Active NPI

Andrea G Ploshnick, MD

  • Pediatric Adolescent Medicine Physician
  • Warren, NJ
National Provider Identifier
1619088945
Registry record updated Dec 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
MA057806 Issued in NJ
Practice address
76 Stirling Road
Suite 201
Warren, NJ 07059-5778
Phone
(908) 755-5437
Fax
(908) 755-6905
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X MA057806 NJ Primary

Addresses

Primary practice location

76 Stirling Road
Suite 201
Warren, NJ 07059-5778

Mailing address

76 Stirling Road
Suite 201
Warren, NJ 07059-5778
Phone (908) 755-5437

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA057806NJMDPediatric Adolescent Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Watchung Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: aploshnick@watchung.pcc-direct.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323302400000",
    "number": "1619088945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 STIRLING ROAD",
            "address_2": "SUITE 201",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070595778",
            "telephone_number": "908-755-5437",
            "fax_number": "908-755-6905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 STIRLING ROAD",
            "address_2": "SUITE 201",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070595778",
            "telephone_number": "908-755-5437",
            "fax_number": "908-755-6905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLOSHNICK",
        "first_name": "ANDREA",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2011-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NJ",
            "license": "MA057806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; 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.