NPIMap

Organization Active NPI

Ventnor Pediatrics Inc

  • Pediatrics Physician
  • Ventnor City, NJ
National Provider Identifier
1689961401
Registry record updated Jun 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA06156800 Issued in NJ
Legal business name
VENTNOR PEDIATRICS INC
Practice address
6601 Ventnor Ave
Suite #14
Ventnor City, NJ 08406-2167
Phone
(609) 487-6507
Fax
(609) 487-6508
NPI assigned
Jun 30, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2011

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

Authorized official

Name
Mrs. Emiola O Asemota, M.D.NPI 1518916584
Title
Owner/Ceo
Phone
(609) 487-6507

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 SINGLE SPECIALTY GROUP 208000000X 25MA06156800 NJ Primary

Addresses

Primary practice location

6601 Ventnor Ave
Suite #14
Ventnor City, NJ 08406-2167

Mailing address

6601 Ventnor Ave
Suite #14
Ventnor City, NJ 08406-2167
Phone (609) 487-6507

Other identifiers 1

IdentifierTypeStateIssuer
6482406MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Ventnor Pediatrics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1309392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309392000000",
    "number": "1689961401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6601 VENTNOR AVE",
            "address_2": "SUITE #14",
            "city": "VENTNOR CITY",
            "state": "NJ",
            "postal_code": "084062167",
            "telephone_number": "609-487-6507",
            "fax_number": "609-487-6508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 VENTNOR AVE",
            "address_2": "SUITE #14",
            "city": "VENTNOR CITY",
            "state": "NJ",
            "postal_code": "084062167",
            "telephone_number": "609-487-6507",
            "fax_number": "609-487-6508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENTNOR PEDIATRICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-30",
        "last_updated": "2011-06-30",
        "status": "A",
        "authorized_official_last_name": "ASEMOTA",
        "authorized_official_first_name": "EMIOLA",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "609-487-6507",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA06156800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6482406",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventnor City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.