Organization Active NPI

Newborn to Adolescent Specialists

  • Pediatric Adolescent Medicine Physician
  • Englishtown, NJ
National Provider Identifier
1720106388
Registry record updated May 19, 2009
On this page

Key facts

NPPES NPI Registry
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
Last updated
May 19, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2009

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

Authorized official

Name
Dr. Lakshmi P Nandiwada, MDNPI 1477591345
Title
Physician - President
Phone
(732) 431-0505

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080A0000X
Pediatric Adolescent Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080A0000X MA51781 NJ Primary
Pediatric Adolescent Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080A0000X 25MA04546100 NJ

Addresses

Primary practice location

24 Plaza 9
Englishtown, NJ 07726

Mailing address

24 Plaza 9
Englishtown, NJ 07726
Phone (732) 431-0505

Other names 1

  • Lakshmi Nandiwada MD Former legal business name

National Provider Directory

National Provider Directory
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.

Locations

24 Plaza 9
Manalapan, NJ 07726
Phone (732) 625-0210

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakshmi Nandiwada MD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Englishtown, NJ

Sources for this page

  • 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.