NPIMap

Organization Active NPI

Westfield Pediatric Group

  • Preferred Provider Organization
  • Westfield, NJ
National Provider Identifier
1730238700
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
Legal business name
WESTFIELD PEDIATRIC GROUP
Practice address
532 E Broad St
Westfield, NJ 07090-2116
Phone
(908) 232-8077
Fax
(908) 232-8447
NPI assigned
Jan 9, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Maryanne Boissonneault
Title
Billing Manager
Phone
(908) 232-8077

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X NJ Primary

Addresses

Primary practice location

532 E Broad St
Westfield, NJ 07090-2116

Mailing address

532 E Broad St
Westfield, NJ 07090-2116
Phone (908) 232-8077

Other identifiers 1

IdentifierTypeStateIssuer
2722402MedicaidNJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

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": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1730238700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 E BROAD ST",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070902116",
            "telephone_number": "908-232-8077",
            "fax_number": "908-232-8447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 E BROAD ST",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070902116",
            "telephone_number": "908-232-8077",
            "fax_number": "908-232-8447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTFIELD PEDIATRIC GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BOISSONNEAULT",
        "authorized_official_first_name": "MARYANNE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "908-232-8077",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2722402",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.