Active NPI
Kalpana Prakash, MD
- Pediatrics Physician
- Dover, NJ
National Provider Identifier
1740298595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MA56978
- Practice address
- 77 Union St
Dover, NJ 07801-4077 - Phone
- (973) 366-5236
- Fax
- (973) 366-8986
- NPI assigned
- Aug 4, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MA56978 | NJ | Primary |
Addresses
Primary practice location
77 Union St
Dover, NJ 07801-4077
Mailing address
77 Union St
Dover, NJ 07801-4077
Phone (973) 366-5236
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA56978 | NJ | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1740298595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 UNION ST",
"city": "DOVER",
"state": "NJ",
"postal_code": "078014077",
"telephone_number": "973-366-5236",
"fax_number": "973-366-8986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 UNION ST",
"city": "DOVER",
"state": "NJ",
"postal_code": "078014077",
"telephone_number": "973-366-5236",
"fax_number": "973-366-8986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRAKASH",
"first_name": "KALPANA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "MA56978",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dover, NJ
- Emily Petrillo
- Lynne Carol Phillips
- Roberto Piccolo, DMD
- Steven T Pickel, PTA
- Planned Parenthood of Greater Northern NJ
- Premier Brain and Spine LLC (Orthopedic Associates of West Jersey)
- Primary Care Partners, LLC (Family Medicine Center at Dover-PCP Affiliate)
- Prime Healthcare Services - Saint Clare's LLC (The Dwelling Place at Saint Clare's)
- Prime Healthcare Services - Saint Clare's LLC (Saint Clare's Dover)
- Prime Healthcare Services - Saint Clare's LLC (Saint Clare's Hospital - Dover)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.