Newborn to Adolescent Specialists

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

MA51781 Issued in NJ

Legal business name

NEWBORN TO ADOLESCENT SPECIALISTS

Practice address

24 Plaza 9
Englishtown, NJ 07726

Phone

(732) 431-0505

Fax

(732) 294-2470

NPI assigned

Mar 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Lakshmi P Nandiwada, MD

Title

Physician - President

Phone

(732) 431-0505

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Lakshmi Nandiwada MD Former legal business name

Tax ID family

Lakshmi Nandiwada MD2 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.

• Newborns to Adolescent Specialists

  • Pediatrics Physician
  • Manalapan, NJ
  • NPI 1457692576
  NPD tax ID

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242691200000",
    "number": "1720106388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 PLAZA 9",
            "city": "ENGLISHTOWN",
            "state": "NJ",
            "postal_code": "07726",
            "telephone_number": "732-431-0505",
            "fax_number": "732-294-2470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 PLAZA 9",
            "city": "ENGLISHTOWN",
            "state": "NJ",
            "postal_code": "07726",
            "telephone_number": "732-431-0505",
            "fax_number": "732-294-2470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWBORN TO ADOLESCENT SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2009-05-19",
        "status": "A",
        "authorized_official_last_name": "NANDIWADA",
        "authorized_official_first_name": "LAKSHMI",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PHYSICIAN - PRESIDENT",
        "authorized_official_telephone_number": "732-431-0505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NJ",
            "license": "MA51781",
            "primary": true
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NJ",
            "license": "25MA04546100",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3835804",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakshmi Nandiwada MD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Nami Khulusi MD LLC
• Lakshmi P Nandiwada, MD
• Natalya Csatari LLC
• National Vision Inc
• New Jersey Podiatric Physicians & Surgeons Group, LLC
• Northpoint Podiatry LLC
• Oliwier Nowak
• Nutrition Counselors LLC
• Zoya Odessky, LMSW
• Leah Ogrodnik

• Pediatric Adolescent Medicine Physician in Englishtown, NJ
• Providers in Englishtown, NJ by specialty
• Pediatric Adolescent Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2009; 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.