NPIMap

Organization Active NPI

Ventnor Pediatrics Inc.

  • Pediatric Adolescent Medicine Physician
  • Ventnor, NJ
National Provider Identifier
1740230952
Registry record updated Jan 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
Legal business name
VENTNOR PEDIATRICS INC.
Practice address
6601 Ventnor Ave
Suite 14
Ventnor, NJ 08406-2167
Phone
(609) 487-6507
Fax
(609) 487-6508
NPI assigned
May 10, 2006
Last updated
Jan 2, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2014

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

Authorized official

Name
Emiola Asemota, M.D.NPI 1518916584
Title
Owner
Phone
(609) 487-6507

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080A0000X Primary

Addresses

Primary practice location

6601 Ventnor Ave
Suite 14
Ventnor, NJ 08406-2167

Mailing address

6601 Ventnor Ave
Suite 14
Ventnor, NJ 08406-2167
Phone (609) 487-6509

Other identifiers 2

IdentifierTypeStateIssuer
0294497MedicaidNJ
2255928001OtherNJAMERIHEALTH HMO/PPO

National Provider Directory

National Provider Directory
Tax ID family
Ventnor Pediatrics2 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

6601 Ventnor Ave
Ste 14
Ventnor City, NJ 08406
Phone (609) 487-6507

Practitioners & affiliated clinicians

Practitioners 4

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": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388620800000",
    "number": "1740230952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6601 VENTNOR AVE",
            "address_2": "SUITE 14",
            "city": "VENTNOR",
            "state": "NJ",
            "postal_code": "084062167",
            "telephone_number": "609-487-6509",
            "fax_number": "609-487-6508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 VENTNOR AVE",
            "address_2": "SUITE 14",
            "city": "VENTNOR",
            "state": "NJ",
            "postal_code": "084062167",
            "telephone_number": "609-487-6507",
            "fax_number": "609-487-6508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENTNOR PEDIATRICS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2014-01-02",
        "status": "A",
        "authorized_official_last_name": "ASEMOTA",
        "authorized_official_first_name": "EMIOLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-487-6507",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0294497",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH HMO/PPO",
            "identifier": "2255928001",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventnor, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2014; 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.