NPIMap

Organization Active NPI

Neptune Pediatrics LLC

  • Pediatrics Physician
  • Neptune, NJ
National Provider Identifier
1639318371
Registry record updated Feb 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MB66764 Issued in NJ
Legal business name
NEPTUNE PEDIATRICS LLC
Practice address
1812 Corlies Ave
Neptune, NJ 07753-4802
Phone
(732) 988-3336
Fax
(732) 776-8668
NPI assigned
Feb 19, 2009
Last updated
Feb 19, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2009

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

Authorized official

Name
Dr. Kimberly Atienza, MDNPI 1881653848
Title
Physician
Phone
(732) 988-3336

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X MB66764 NJ Primary

Addresses

Primary practice location

1812 Corlies Ave
Neptune, NJ 07753-4802

Mailing address

1812 Corlies Ave
Neptune, NJ 07753-4802
Phone (732) 988-3336

National Provider Directory

National Provider Directory

Locations

1812 Corlies Ave
Neptune, NJ 07753
Phone (732) 988-3336

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1235001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235001600000",
    "number": "1639318371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 CORLIES AVE",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534802",
            "telephone_number": "732-988-3336",
            "fax_number": "732-776-8668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 CORLIES AVE",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534802",
            "telephone_number": "732-988-3336",
            "fax_number": "732-776-8668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEPTUNE PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-19",
        "last_updated": "2009-02-19",
        "status": "A",
        "authorized_official_last_name": "ATIENZA",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "732-988-3336",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "MB66764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Neptune, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2009; 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.