Organization Active NPI

Whole Child Center, LLC

  • Pediatrics Physician
  • Oradell, NJ
National Provider Identifier
1639332885
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
WHOLE CHILD CENTER, LLC
Practice address
690 Kinderkamack Rd
Suite 102
Oradell, NJ 07649-1524
Phone
(201) 634-1600
Fax
(201) 634-1606
NPI assigned
Jul 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2008

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

Authorized official

Name
Dr. Lawrence Rosen, MDNPI 1255333050
Title
Owner
Phone
(201) 634-1600

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 Primary

Addresses

Primary practice location

690 Kinderkamack Rd
Suite 102
Oradell, NJ 07649-1524

Mailing address

690 Kinderkamack Rd
Suite 102
Oradell, NJ 07649-1524
Phone (201) 634-1600

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D1084282Whole Child Center690 Kinderkamack Road, Oradell, NJ 07649Certificate of waiverMay 19, 2028

National Provider Directory

National Provider Directory

Locations

690 Kinderkamack Rd
Ste 102
Oradell, NJ 07649
Phone (201) 634-1600

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1639332885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 KINDERKAMACK RD",
            "address_2": "SUITE 102",
            "city": "ORADELL",
            "state": "NJ",
            "postal_code": "076491524",
            "telephone_number": "201-634-1600",
            "fax_number": "201-634-1606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 KINDERKAMACK RD",
            "address_2": "SUITE 102",
            "city": "ORADELL",
            "state": "NJ",
            "postal_code": "076491524",
            "telephone_number": "201-634-1600",
            "fax_number": "201-634-1606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLE CHILD CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-08",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "ROSEN",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-634-1600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oradell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.