Active NPI
John Slater, MD
- Pediatrics Physician
- Tenafly, NJ
National Provider Identifier
1699731125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 25MA03615300
- Practice address
- 32 Franklin St
Tenafly Pediatrics
Tenafly, NJ 07670-2005 - Phone
- (201) 569-2400
- Fax
- (201) 816-0136
- NPI assigned
- Apr 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 25MA03615300 | NJ | Primary |
Addresses
Primary practice location
32 Franklin St
Tenafly Pediatrics
Tenafly, NJ 07670-2005
Mailing address
32 Franklin St
Tenafly Pediatrics
Tenafly, NJ 07670-2005
Phone (201) 569-2400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA03615300 | NJ | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190678400000",
"number": "1699731125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 FRANKLIN ST",
"address_2": "TENAFLY PEDIATRICS",
"city": "TENAFLY",
"state": "NJ",
"postal_code": "076702005",
"telephone_number": "201-569-2400",
"fax_number": "201-816-0136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32 FRANKLIN ST",
"address_2": "TENAFLY PEDIATRICS",
"city": "TENAFLY",
"state": "NJ",
"postal_code": "076702005",
"telephone_number": "201-569-2400",
"fax_number": "201-816-0136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLATER",
"first_name": "JOHN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-24",
"last_updated": "2007-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "25MA03615300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tenafly, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.