Kids Care Pediatrics, PA

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

KIDS CARE PEDIATRICS, PA

Practice address

6529 Black Horse PK
Egg Harbor TWP, NJ 08234-4509

Phone

(609) 645-8500

Fax

(609) 645-2574

NPI assigned

Dec 19, 2005

Organization subpart

No

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

Authorized official

Name

Jon M Regis, M.D.

Title

President

Phone

(609) 272-0655

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335744000000",
    "number": "1619953981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 NORTH FRANKLIN AVENUE",
            "address_2": "2ND FLOOR",
            "city": "PLEASANTVILLE",
            "state": "NJ",
            "postal_code": "08232",
            "telephone_number": "609-272-0655",
            "fax_number": "609-272-9317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6529 BLACK HORSE PK",
            "city": "EGG HARBOR TWP",
            "state": "NJ",
            "postal_code": "082344509",
            "telephone_number": "609-645-8500",
            "fax_number": "609-645-2574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS CARE PEDIATRICS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-19",
        "last_updated": "2012-04-30",
        "status": "A",
        "authorized_official_last_name": "REGIS",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-272-0655",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3200903",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Jackson
• James E Rockwelll
• Jenna Ann Kane
• Stephen Moon Kang, D.M.D.
• Peter A Keklak, PA
• Gregory W Kirwan, DO
• Rumyana Kudeva, LCSW
• William Lau
• Laychock Callahan LLC
• Gary Lee, PHARMD

• Pediatrics Physician in Egg Harbor TWP, NJ
• Providers in Egg Harbor TWP, 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 Apr 30, 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.