Organization Active NPI

Child Federation of a.C., Inc.

  • Pediatrics Physician
  • Pleasantville, NJ
National Provider Identifier
1679789911
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
CHILD FEDERATION OF A.C., INC.
Practice address
18 Martin Luther King Jr Ave
Pleasantville, NJ 08232-2406
Phone
(609) 272-1711
Fax
(609) 272-8970
NPI assigned
May 15, 2007
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
Mrs. Cynthia W. Green
Title
Executive Director
Phone
(609) 272-1711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

18 Martin Luther King Jr Ave
Pleasantville, NJ 08232-2406

Mailing address

18 Martin Luther King Jr Ave
Pleasantville, NJ 08232-2406
Phone (609) 272-1711

Other identifiers 1

IdentifierTypeStateIssuer
8614601MedicaidNJ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679789911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 MARTIN LUTHER KING JR AVE",
            "city": "PLEASANTVILLE",
            "state": "NJ",
            "postal_code": "082322406",
            "telephone_number": "609-272-1711",
            "fax_number": "609-272-8970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 MARTIN LUTHER KING JR AVE",
            "city": "PLEASANTVILLE",
            "state": "NJ",
            "postal_code": "082322406",
            "telephone_number": "609-272-1711",
            "fax_number": "609-272-8970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD FEDERATION OF A.C., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "609-272-1711",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8614601",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasantville, 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.