Organization Active NPI

Kaza Medical Group

  • Pediatrics Physician
  • Dover, DE
National Provider Identifier
1639216641
Registry record updated Dec 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
C1-0D01490 Issued in DE
Legal business name
KAZA MEDICAL GROUP
Practice address
18 Old Rudnick LN
Dover, DE 19901-4912
Phone
(302) 674-2616
Fax
(302) 883-8020
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2012

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

Authorized official

Name
Dr. Janaki KazaNPI 1801961701
Title
President
Phone
(302) 674-2616

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208000000X C1-0D01490 DE Primary
Pediatrics PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208000000X C1-0009783 DE
Pediatrics PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208000000X C1-0002870 DE

Addresses

Primary practice location

18 Old Rudnick LN
Dover, DE 19901-4912

Mailing address

18 Old Rudnick LN
Dover, DE 19901-4912
Phone (302) 674-2616

National Provider Directory

National Provider Directory

Locations

810 New Burton Rd
Ste 1
Dover, DE 19904
Phone (302) 744-9310

18 Old Rudnick Ln
Dover, DE 19901
Phone (302) 674-2616

Practitioners & affiliated clinicians

Practitioners 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354665600000",
    "number": "1639216641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 OLD RUDNICK LN",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199014912",
            "telephone_number": "302-674-2616",
            "fax_number": "302-883-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 OLD RUDNICK LN",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199014912",
            "telephone_number": "302-674-2616",
            "fax_number": "302-883-8020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAZA MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2012-12-05",
        "status": "A",
        "authorized_official_last_name": "KAZA",
        "authorized_official_first_name": "JANAKI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-674-2616",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "DE",
            "license": "C1-0D01490",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "DE",
            "license": "C1-0009783",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "DE",
            "license": "C1-0002870",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.