Organization Active NPI

Pediatrics Day and Night

  • Pediatrics Physician
  • Hamilton, NJ
National Provider Identifier
1790805786
Registry record updated Mar 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
PEDIATRICS DAY AND NIGHT
Practice address
1230 Whitehorse Mercerville Rd
Hamilton, NJ 08619-3814
Phone
(609) 581-1700
Fax
(609) 581-8472
NPI assigned
Mar 31, 2007
Last updated
Mar 6, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2012

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

Authorized official

Name
Linda Tuccillo
Title
Office Manager
Phone
(609) 581-1700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

1230 Whitehorse Mercerville Rd
Hamilton, NJ 08619-3814

Mailing address

1230 Whitehorse Mercerville Rd
Hamilton, NJ 08619-3814
Phone (609) 581-1700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220329002665 NJ Part B Supplier - Clinic/Group Practice 7719373844 Receives reassigned benefits from 1 practitioner
Practice locations: Trenton, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D0872354Pediatrics Day & Night PA1230 Whitehorse-Mercerville Road, Hamilton, NJ 08619Certificate of waiverApr 26, 2027

National Provider Directory

National Provider Directory

Locations

1230 Whitehorse Mercerville Rd
Ste 1
Trenton, NJ 08619

Practitioners & affiliated clinicians

Practitioners 5

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": "1175299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330992000000",
    "number": "1790805786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 WHITEHORSE MERCERVILLE RD",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086193814",
            "telephone_number": "609-581-1700",
            "fax_number": "609-581-8472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 WHITEHORSE MERCERVILLE RD",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086193814",
            "telephone_number": "609-581-1700",
            "fax_number": "609-581-8472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRICS DAY AND NIGHT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-31",
        "last_updated": "2012-03-06",
        "status": "A",
        "authorized_official_last_name": "TUCCILLO",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "609-581-1700"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.