Koala Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

KOALA PEDIATRICS

Practice address

121 Center Grove Rd Ste 15
Randolph, NJ 07869-4453

Phone

(973) 361-4900

Fax

(973) 361-1842

NPI assigned

Jul 9, 2019

Last updated

Jul 9, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Fiona Pakonis, MDNPI 1821163643

Title

Physician

Phone

(973) 361-4900

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

• Fiona Pakonis, M.D.

  • Pediatrics Physician
  • Randolph, NJ
  • NPI 1821163643
  NPD Authorized official

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

{
    "created_epoch": "1562630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562630400000",
    "number": "1740842962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 CENTER GROVE RD STE 15",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078694453",
            "telephone_number": "973-361-4900",
            "fax_number": "973-361-1842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 CENTER GROVE RD STE 15",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078694453",
            "telephone_number": "973-361-4900",
            "fax_number": "973-361-1842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOALA PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-09",
        "last_updated": "2019-07-09",
        "status": "A",
        "authorized_official_last_name": "PAKONIS",
        "authorized_official_first_name": "FIONA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "973-361-4900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Young Kyu Kim, D.D.S
• Mindy Strauss Kirschner, MA,CCC/SLP
• Kishwar Shareef MD PC
• Brian Jeffrey Klein, D.M.D
• Carrie Ann Knowlton, PT, DPT
• Paul Kochoa, P.T., D.P.T.
• Stacie Koenigsberg, MS, CCC-SLP
• Lauren Kolesa, RD
• Diana Krannich, RPH,LMT
• Michael Krysko, MD

• Pediatrics Physician in Randolph, NJ
• Providers in Randolph, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.