Pediatric Center of Somerset Limited Liability Company

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PEDIATRIC CENTER OF SOMERSET LIMITED LIABILITY COMPANY

Practice address

1440 How LN Ste 2F
North Brunswick, NJ 08902-4600

Phone

(732) 764-0004

Fax

(732) 960-2301

NPI assigned

Dec 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Jay Speesler, M.D.NPI 1861428880

Title

President

Phone

(732) 764-0004

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew Jay Speesler, M.D.

  • Pediatric Adolescent Medicine Physician
  • North Brunswick, NJ
  • NPI 1861428880
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702684800000",
    "number": "1760666036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6086",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088756086",
            "telephone_number": "732-764-0004",
            "fax_number": "732-658-4543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 HOW LN STE 2F",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089024600",
            "telephone_number": "732-764-0004",
            "fax_number": "732-960-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC CENTER OF SOMERSET LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-21",
        "last_updated": "2023-12-16",
        "certification_date": "2023-12-16",
        "status": "A",
        "authorized_official_last_name": "SPEESLER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-764-0004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shikha Patel, DPT
• Mona Pathania
• Kshama M Patkar
• George A Patterson, MD
• Neil Teja Patton, DPT
• Pediatricprioritycare
• Pelvic Reset Physical Therapy & Wellness Inc
• Jacqueline Perrone
• Scott Persaud, DDS
• Meghana Pesari, DDS

• Pediatrics Physician in North Brunswick, NJ
• Providers in North Brunswick, 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 Dec 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.