Organization Active NPI

Mercer County Pediatrics

  • Pediatrics Physician
  • Hamilton, NJ
National Provider Identifier
1700021177
Registry record updated Jan 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
MERCER COUNTY PEDIATRICS
Practice address
2113 Klockner Rd
Hamilton, NJ 08690-3403
Phone
(609) 586-7887
Fax
(609) 586-1198
NPI assigned
Dec 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2017

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

Authorized official

Name
Dr. Linda Ornum Valencia, M.D.
Title
Pediatrician
Phone
(609) 586-7887

Specialties & licenses 1

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

Addresses

Primary practice location

2113 Klockner Rd
Hamilton, NJ 08690-3403

Mailing address

2113 Klockner Rd
Hamilton, NJ 08690-3403
Phone (609) 586-7887

Other identifiers 1

IdentifierTypeStateIssuer
2405504MedicaidNJ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1229040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484870400000",
    "number": "1700021177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2113 KLOCKNER RD",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086903403",
            "telephone_number": "609-586-7887",
            "fax_number": "609-586-1198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2113 KLOCKNER RD",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086903403",
            "telephone_number": "609-586-7887",
            "fax_number": "609-586-1198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCER COUNTY PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-12",
        "last_updated": "2017-01-20",
        "status": "A",
        "authorized_official_last_name": "VALENCIA",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "ORNUM",
        "authorized_official_title_or_position": "PEDIATRICIAN",
        "authorized_official_telephone_number": "609-586-7887",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2405504",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2017; 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.