Organization Active NPI

Burgher and Maron Pediatrics

Doing business as Pedia Place, Inc

  • Pediatrics Physician
  • Vineland, NJ
National Provider Identifier
1780717736
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA06289200 Issued in NJ
Legal business name
BURGHER AND MARON PEDIATRICS
Doing business as
Pedia Place, Inc
Practice address
2950 College Drive
Unit 2 C
Vineland, NJ 08360
Phone
(856) 692-6000
Fax
(856) 692-0609
NPI assigned
Mar 13, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Bhavna K Patel, MDNPI 1205867876
Title
Co-Owner Physician
Phone
(856) 692-6000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25MA06289200 NJ Primary

Addresses

Primary practice location

2950 College Drive
Unit 2 C
Vineland, NJ 08360

Mailing address

2950 College Drive
Unit 2 C
Vineland, NJ 08360
Phone (856) 692-6000

Other names 1

  • Pedia Place, Inc Doing business as

National Provider Directory

National Provider Directory

Locations

2950 College Dr
Ste 2C
Vineland, NJ 08360
Phone (856) 692-6000

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780717736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 COLLEGE DRIVE",
            "address_2": "UNIT 2 C",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "08360",
            "telephone_number": "856-692-6000",
            "fax_number": "856-692-0609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 COLLEGE DRIVE",
            "address_2": "UNIT 2 C",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "08360",
            "telephone_number": "856-692-6000",
            "fax_number": "856-692-0609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURGHER AND MARON PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "BHAVNA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CO-OWNER PHYSICIAN",
        "authorized_official_telephone_number": "856-692-6000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA06289200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pedia Place, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vineland, 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.