Verona Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

VERONA PEDIATRICS

Practice address

80 Bloomfield Ave
Second Floor
Caldwell, NJ 07006-5343

Phone

(973) 618-9990

Fax

(973) 618-9991

NPI assigned

Aug 14, 2008

Organization subpart

No

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

Authorized official

Name

Dr. David John Strader, MDNPI 1306931787

Title

Managing Partner

Phone

(973) 618-9990

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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

• David J Strader, MD

  • Pediatrics Physician
  • Caldwell, NJ
  • NPI 1306931787
  NPD (past) Authorized official
• Nancy Mallon, MD

  • Pediatrics Physician
  • Verona, NJ
  • NPI 1912092453
  NPD (past)
• Sarah Nielsen, MD

  • Pediatrics Physician
  • Verona, NJ
  • NPI 1811081409
  NPD (past)
• Cynthia R Prestigiacomo, MD

  • Pediatrics Physician
  • Caldwell, NJ
  • NPI 1730275207
  NPD (past)

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

{
    "created_epoch": "1218672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218672000000",
    "number": "1700032372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 BLOOMFIELD AVE",
            "address_2": "SECOND FLOOR",
            "city": "CALDWELL",
            "state": "NJ",
            "postal_code": "070065343",
            "telephone_number": "973-618-9990",
            "fax_number": "973-618-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 BLOOMFIELD AVE",
            "address_2": "SECOND FLOOR",
            "city": "CALDWELL",
            "state": "NJ",
            "postal_code": "070065343",
            "telephone_number": "973-618-9990",
            "fax_number": "973-618-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERONA PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-14",
        "last_updated": "2008-08-14",
        "status": "A",
        "authorized_official_last_name": "STRADER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "973-618-9990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatrics Physician in Caldwell, NJ
• Providers in Caldwell, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.