Organization Active NPI

Metro Pediatric Cardiology Associates

  • Specialist
  • Livingston, NJ
National Provider Identifier
1801979943
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
06221900 Issued in NJ
Legal business name
METRO PEDIATRIC CARDIOLOGY ASSOCIATES
Practice address
349 E Northfield Rd
Suite 105
Livingston, NJ 07039-4802
Phone
(973) 597-3333
NPI assigned
Oct 23, 2006
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. Donald C Putman, MDNPI 1598728396
Title
President
Phone
(973) 597-3333

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 06221900 NJ Primary

Addresses

Primary practice location

349 E Northfield Rd
Suite 105
Livingston, NJ 07039-4802

Mailing address

349 E Northfield Rd
Suite 105
Livingston, NJ 07039-4802
Phone (973) 597-3333

National Provider Directory

National Provider Directory

Locations

349 E Northfield Rd
Ste 105
Livingston, NJ 07039
Phone (973) 597-3333

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801979943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "349 E NORTHFIELD RD",
            "address_2": "SUITE 105",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070394802",
            "telephone_number": "973-597-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 E NORTHFIELD RD",
            "address_2": "SUITE 105",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070394802",
            "telephone_number": "973-597-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO PEDIATRIC CARDIOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PUTMAN",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-597-3333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "06221900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, 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.