Organization Active NPI

Comprehensive Pediatrics, PC

  • Family Medicine Physician
  • Edison, NJ
National Provider Identifier
1700325610
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
COMPREHENSIVE PEDIATRICS, PC
Practice address
2 Lincoln Hwy Ste 500
Edison, NJ 08820-3904
Phone
(732) 516-9868
Fax
(732) 516-9869
NPI assigned
Feb 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Authorized official

Name
Aijuan Wang, MDNPI 1992850820
Title
Physician
Phone
(731) 221-6870

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X
Medical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AM0700X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

2 Lincoln Hwy Ste 500
Edison, NJ 08820-3904

Mailing address

2 Lincoln Hwy Ste 500
Edison, NJ 08820-3904
Phone (732) 516-9868

Other practice location 1

567 Fischer Blvd
Toms River, NJ 08753-6311
Phone (732) 066-8685

Other practice location 2

233 Bridge St
Metuchen, NJ 08840-2292
Phone (732) 906-8662

Other identifiers 1

IdentifierTypeStateIssuer
0035092MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210216000662 NJ Part B Supplier - Clinic/Group Practice 7618382128 Receives reassigned benefits from 9 practitioners
Practice locations: Edison, NJ; Toms River, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D1053700Comprehensive Pediatrics2 Lincoln Highway Suite 508, Edison, NJ 08820Certificate of waiverJan 27, 2027
31D2331502Comprehensive Pediatrics, PC567 Fischer Blvd, Toms River, NJ 08753Certificate of waiverOct 1, 2027

National Provider Directory

National Provider Directory

Locations

233 Bridge St
Bldg F
Metuchen, NJ 08840
Phone (732) 744-0044

1044 Main St
Paterson, NJ 07503
Phone (973) 510-2444

Practitioners & affiliated clinicians

Practitioners 10

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": "1486944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730937600000",
    "number": "1700325610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 LINCOLN HWY STE 500",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203904",
            "telephone_number": "732-516-9868",
            "fax_number": "732-516-9869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 LINCOLN HWY STE 500",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203904",
            "telephone_number": "732-516-9868",
            "fax_number": "732-516-9869"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "567 Fischer Blvd",
            "address_purpose": "LOCATION",
            "city": "Toms River",
            "state": "NJ",
            "postal_code": "087536311",
            "country_code": "US",
            "telephone_number": "732-066-8685",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "233 Bridge St",
            "address_purpose": "LOCATION",
            "city": "Metuchen",
            "state": "NJ",
            "postal_code": "088402292",
            "country_code": "US",
            "telephone_number": "732-906-8662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMPREHENSIVE PEDIATRICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-13",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "AIJUAN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "731-221-6870",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0035092",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.