Organization Active NPI

Kids Koncept Pediatrics

  • Pediatrics Physician
  • Kendall Park, NJ
National Provider Identifier
1649375858
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA053060 Issued in NJ
Legal business name
KIDS KONCEPT PEDIATRICS
Practice address
3250 RT 27
Kendall Park, NJ 08824
Phone
(732) 398-0900
Fax
(732) 398-9030
NPI assigned
Sep 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Nalini Agarwal, MD
Title
Pediatrician
Phone
(732) 398-0900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 25MA053060 NJ Primary

Addresses

Primary practice location

3250 RT 27
Kendall Park, NJ 08824

Mailing address

3250 RT 27
Kendall Park, NJ 08824
Phone (732) 398-0900

Other identifiers 1

IdentifierTypeStateIssuer
2287200MedicaidNJ

Other names 1

  • Dr Nalini Agarwal Owner Other name

National Provider Directory

National Provider Directory

Locations

3250 State Route 27
Kendall Park, NJ 08824
Phone (732) 398-0900

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649375858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 RT 27",
            "city": "KENDALL PARK",
            "state": "NJ",
            "postal_code": "08824",
            "telephone_number": "732-398-0900",
            "fax_number": "732-398-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 RT 27",
            "city": "KENDALL PARK",
            "state": "NJ",
            "postal_code": "08824",
            "telephone_number": "732-398-0900",
            "fax_number": "732-398-9030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS KONCEPT PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AGARWAL",
        "authorized_official_first_name": "NALINI",
        "authorized_official_title_or_position": "PEDIATRICIAN",
        "authorized_official_telephone_number": "732-398-0900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA053060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2287200",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Nalini Agarwal Owner",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kendall Park, NJ

Sources for this page

  • 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.