Organization Active NPI

Children First Pediatrics of Vineland

  • Pediatrics Physician
  • Vineland, NJ
National Provider Identifier
1659640324
Registry record updated Dec 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
CHILDREN FIRST PEDIATRICS OF VINELAND
Practice address
80 S Main Rd
Suite 103
Vineland, NJ 08360-7829
Phone
(856) 690-0050
Fax
(856) 690-9499
NPI assigned
Dec 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2011

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

Authorized official

Name
Dr. Leannah Louise Harper, M.D.
Title
President
Phone
(856) 690-0050

Specialties & licenses 1

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

Addresses

Primary practice location

80 S Main Rd
Suite 103
Vineland, NJ 08360-7829

Mailing address

80 S Main Rd
Suite 103
Vineland, NJ 08360-7829
Phone (856) 690-0050

Other identifiers 1

IdentifierTypeStateIssuer
2417901MedicaidNJ

National Provider Directory

National Provider Directory

Locations

80 S Main Rd
Ste 103
Vineland, NJ 08360
Phone (800) 217-6407

NPI Registry JSON

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

{
    "created_epoch": "1324598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324598400000",
    "number": "1659640324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 S MAIN RD",
            "address_2": "SUITE 103",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083607829",
            "telephone_number": "856-690-0050",
            "fax_number": "856-690-9499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 S MAIN RD",
            "address_2": "SUITE 103",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083607829",
            "telephone_number": "856-690-0050",
            "fax_number": "856-690-9499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN FIRST PEDIATRICS OF VINELAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-23",
        "last_updated": "2011-12-23",
        "status": "A",
        "authorized_official_last_name": "HARPER",
        "authorized_official_first_name": "LEANNAH",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-690-0050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2417901",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2011; 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.