NPIMap

Organization Active NPI

Pediatric Affiliates PA

  • Pediatrics Physician
  • Toms River, NJ
National Provider Identifier
1669404018
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
PEDIATRIC AFFILIATES PA
Practice address
40 Bey Lea Road
Suite B203
Toms River, NJ 08753
Phone
(732) 341-0720
Fax
(732) 244-6842
NPI assigned
Jul 7, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Patricia Iannaccone
Title
Practice Administrator
Phone
(732) 341-5180

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

40 Bey Lea Road
Suite B203
Toms River, NJ 08753

Mailing address

40 Bey Lea Road
Suite B203
Toms River, NJ 08753
Phone (732) 341-0720

National Provider Directory

National Provider Directory
Tax ID family
Pediatric Affiliates PA3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

218 Jack Martin Blvd
Bldg E1
Brick, NJ 08724

1001 US Highway 9
Howell, NJ 07731
Phone (732) 294-0200

Interoperability endpoints

  • Direct secure messaging: alyssaimmendorf@pediatricaff.allscriptsdirect.net
  • Direct secure messaging: charitacsiky@pediatricaff.allscriptsdirect.net
  • Direct secure messaging: cherylhollema@pediatricaff.allscriptsdirect.net
  • Direct secure messaging: daniellapidus@pediatricaff.allscriptsdirect.net
  • Direct secure messaging: elizabethfiore@pediatricaff.allscriptsdirect.net
  • Direct secure messaging: elizabethlaatsch@pediatricaff.allscriptsdirect.net
  • Direct secure messaging: gloriaannjennings@pediatricaff.allscriptsdirect.net
  • Direct secure messaging: hannahschlusser@pediatricaff.allscriptsdirect.net
  • Direct secure messaging: irahaimowitz@pediatricaff.allscriptsdirect.net
  • Direct secure messaging: isaacbraverman@pediatricaff.allscriptsdirect.net
  • Direct secure messaging: marycatherinetan@pediatricaff.allscriptsdirect.net
  • Direct secure messaging: matthewdever@pediatricaff.allscriptsdirect.net
  • Direct secure messaging: michaelgolub@pediatricaff.allscriptsdirect.net
  • Direct secure messaging: michelleverdi@pediatricaff.allscriptsdirect.net
  • Direct secure messaging: nancysalgadocowan@pediatricaff.allscriptsdirect.net
  • Direct secure messaging: robertshanik@pediatricaff.allscriptsdirect.net
  • Direct secure messaging: sudhakanthan@pediatricaff.allscriptsdirect.net
  • Direct secure messaging: teresakanev@pediatricaff.allscriptsdirect.net
  • Direct secure messaging: yehoshuasilverstein@pediatricaff.allscriptsdirect.net

Practitioners & affiliated clinicians

Practitioners 37

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.

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669404018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 BEY LEA ROAD",
            "address_2": "SUITE B203",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "08753",
            "telephone_number": "732-341-0720",
            "fax_number": "732-244-6842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 BEY LEA ROAD",
            "address_2": "SUITE B203",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "08753",
            "telephone_number": "732-341-0720",
            "fax_number": "732-244-6842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC AFFILIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "IANNACCONE",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "732-341-5180"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, 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.