Active NPI
Mendham Pediatric Care LLC
- Pediatrics Physician
- Mendham, NJ
National Provider Identifier
1770796914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MA52535
- Legal business name
- MENDHAM PEDIATRIC CARE LLC
- Practice address
- 5 Cold Hill Rd
Suite 6B
Mendham, NJ 07945-2015 - Phone
- (973) 543-1996
- NPI assigned
- May 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Deepa Singh Minhas, MD
- Title
- Managing Member
- Phone
- (973) 543-1996
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MA52535 | NJ | Primary |
Addresses
Primary practice location
5 Cold Hill Rd
Suite 6B
Mendham, NJ 07945-2015
Mailing address
5 Cold Hill Rd
Suite 6B
Mendham, NJ 07945-2015
Phone (973) 543-1996
National Provider Directory
National Provider DirectoryLocations
5 Cold Hill Rd
Ste 6B
Mendham Township, NJ 07945
Phone (973) 543-1996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213833600000",
"number": "1770796914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 COLD HILL RD",
"address_2": "SUITE 6B",
"city": "MENDHAM",
"state": "NJ",
"postal_code": "079452015",
"telephone_number": "973-543-1996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 COLD HILL RD",
"address_2": "SUITE 6B",
"city": "MENDHAM",
"state": "NJ",
"postal_code": "079452015",
"telephone_number": "973-543-1996"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MENDHAM PEDIATRIC CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-07",
"last_updated": "2008-06-19",
"status": "A",
"authorized_official_last_name": "MINHAS",
"authorized_official_first_name": "DEEPA",
"authorized_official_middle_name": "SINGH",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "973-543-1996",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "NJ",
"license": "MA52535",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mendham, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.