Organization Active NPI

Mendham Pediatric Care LLC

  • Pediatrics Physician
  • Mendham, NJ
National Provider Identifier
1770796914
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MA52535 Issued in NJ
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

Updated by the provider on Jun 19, 2008

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)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.