Pediahealth Medical Associates,PA

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

25MA04868100 Issued in NJ

Legal business name

PEDIAHEALTH MEDICAL ASSOCIATES,PA

Practice address

720 US Highway 202-206 North
Bridgewater, NJ 08807

Phone

(908) 722-5444

Fax

(908) 722-5071

NPI assigned

May 17, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Grace Therese Calimlim, M.D.NPI 1922177336

Title

Physician

Phone

(908) 722-5444

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Grace Therese Calimlim, M.D.

  • Pediatrics Physician
  • Bridgewater, NJ
  • NPI 1922177336
  NPD (past) Authorized official

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639386956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 US HIGHWAY 202-206 NORTH",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "08807",
            "telephone_number": "908-722-5444",
            "fax_number": "908-722-5071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 US HIGHWAY 202-206 NORTH",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "08807",
            "telephone_number": "908-722-5444",
            "fax_number": "908-722-5071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIAHEALTH MEDICAL ASSOCIATES,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CALIMLIM",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "THERESE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "908-722-5444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA04868100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Path to Wellness LLC
• Paul D. Kaplan,D.M.D.,P.a.
• Paul Phillips Eye & Surgery Center PC
• Pearle Vision
• Kerry A Pearson-Sanders, MA, LMFT
• Pediatric and Adolescent Care Associates
• Emily Lauren Pellicano, OTD, OTR/L
• Joddie Pelofsky, SLP
• Alison Lyn Penna, M.S. CCC-SLP
• Justin Scott Penna, CCC-SLP

• Pediatrics Physician in Bridgewater, NJ
• Providers in Bridgewater, 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 Aug 22, 2020; 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.