Kidz Doctor LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

KIDZ DOCTOR LLC

Practice address

11 Overlook Rd Ste 170
Summit, NJ 07901-3581

Phone

(908) 277-4480

NPI assigned

Jul 29, 2008

Organization subpart

No

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

Authorized official

Name

William Roy

Title

MGR

Phone

(908) 277-4480

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Maria Corazon Cerdena, MD, FAAP

  • Pediatrics Physician
  • Mountainside, NJ
  • NPI 1457445637
  NPD (past)
• Marion Lucciola, M.D.

  • Pediatrics Physician
  • Summit, NJ
  • NPI 1326361163
  NPD (past)
• Alpa Niraj Shah, D.O

  • Pediatrics Physician
  • Summit, NJ
  • NPI 1518123678
  NPD (past)

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

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217289600000",
    "number": "1639335706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 OVERLOOK RD STE 170",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079013581",
            "telephone_number": "908-277-4480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 OVERLOOK RD STE 170",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079013581",
            "telephone_number": "908-277-4480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDZ DOCTOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-29",
        "last_updated": "2008-07-29",
        "status": "A",
        "authorized_official_last_name": "ROY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "908-277-4480"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Waqar Khan
• Giorgi Khardziani, MD
• Houman Khosrozadeh, MD
• Maryann Khoudary
• Sona Khurana, D.O.
• Julia Kielar
• Tournike Kiria
• Sara Kirsch
• Mythely Kirupaharan, MD
• Andrew Kitchen, MA, LPC

• Pediatrics Physician in Summit, NJ
• Providers in Summit, 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 Jul 29, 2008; 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.