Organization Active NPI

Short Hills Pediatrics, Inc.

  • Pediatrics Physician
  • Florham Park, NJ
National Provider Identifier
1780709113
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA05662700 Issued in NJ
Legal business name
SHORT HILLS PEDIATRICS, INC.
Practice address
29 Columbia Tpke
Suite 201
Florham Park, NJ 07932-2240
Phone
(973) 410-0422
NPI assigned
Mar 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mojgan Behbakht, M.D.
Title
Owner
Phone
(973) 410-0422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208000000X 25MA05662700 NJ Primary

Addresses

Primary practice location

29 Columbia Tpke
Suite 201
Florham Park, NJ 07932-2240

Mailing address

29 Columbia Tpke
Suite 201
Florham Park, NJ 07932-2240
Phone (973) 410-0422

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780709113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 COLUMBIA TPKE",
            "address_2": "SUITE 201",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079322240",
            "telephone_number": "973-410-0422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 COLUMBIA TPKE",
            "address_2": "SUITE 201",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079322240",
            "telephone_number": "973-410-0422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORT HILLS PEDIATRICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BEHBAKHT",
        "authorized_official_first_name": "MOJGAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-410-0422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA05662700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florham Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.