NPIMap

Organization Active NPI

Pediatric Physician Care,LLC

  • Pediatrics Physician
  • Englishtown, NJ
National Provider Identifier
1730328113
Registry record updated Feb 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA068615 Issued in NJ
Legal business name
PEDIATRIC PHYSICIAN CARE,LLC
Practice address
74 Route 9
Englishtown, NJ 07726-9209
Phone
(732) 617-1003
Fax
(732) 617-1004
NPI assigned
Feb 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2009

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

Authorized official

Name
Dr. Theresa Salcedo, M.D.
Title
Physician
Phone
(732) 617-1003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 25MA068615 NJ Primary

Addresses

Primary practice location

74 Route 9
Englishtown, NJ 07726-9209

Mailing address

74 Route 9
Englishtown, NJ 07726-9209
Phone (732) 617-1003

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1234137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234137600000",
    "number": "1730328113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 ROUTE 9",
            "city": "ENGLISHTOWN",
            "state": "NJ",
            "postal_code": "077269209",
            "telephone_number": "732-617-1003",
            "fax_number": "732-617-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 ROUTE 9",
            "city": "ENGLISHTOWN",
            "state": "NJ",
            "postal_code": "077269209",
            "telephone_number": "732-617-1003",
            "fax_number": "732-617-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC PHYSICIAN CARE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-09",
        "last_updated": "2009-02-09",
        "status": "A",
        "authorized_official_last_name": "SALCEDO",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "732-617-1003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA068615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 9, 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.