NPIMap

Organization Active NPI

MTM Pediatrics, LLC

Doing business as Stepping Stone Pediatrics

  • Pediatrics Physician
  • Wall Township, NJ
National Provider Identifier
1669444204
Registry record updated Aug 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
MTM PEDIATRICS, LLC
Doing business as
Stepping Stone Pediatrics
Practice address
3350 Highway 138
Building 2, Suite 126
Wall Township, NJ 07719-9693
Phone
(732) 280-6455
Fax
(732) 280-6456
NPI assigned
Feb 7, 2006
Last updated
Aug 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2008

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

Authorized official

Name
Dr. Maria Theresa Micale, DONPI 1619949252
Title
President
Phone
(732) 280-6455

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

3350 Highway 138
Building 2, Suite 126
Wall Township, NJ 07719-9693

Mailing address

3350 Highway 138
Building 2, Suite 126
Wall Township, NJ 07719-9693
Phone (732) 280-6455

Other names 1

  • Stepping Stone Pediatrics Doing business as

National Provider Directory

National Provider Directory

Locations

3350 State Route 138
Ste 126
Wall Township, NJ 07719
Phone (732) 280-6455

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218585600000",
    "number": "1669444204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 HIGHWAY 138",
            "address_2": "BUILDING 2, SUITE 126",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077199693",
            "telephone_number": "732-280-6455",
            "fax_number": "732-280-6456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 HIGHWAY 138",
            "address_2": "BUILDING 2, SUITE 126",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077199693",
            "telephone_number": "732-280-6455",
            "fax_number": "732-280-6456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MTM PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-07",
        "last_updated": "2008-08-13",
        "status": "A",
        "authorized_official_last_name": "MICALE",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "THERESA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-280-6455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stepping Stone Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wall Township, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.