Organization Active NPI

Care for Kids Pediatrics LLC

  • Specialist
  • Newark, NJ
National Provider Identifier
1811195308
Registry record updated Jul 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25MA06254200 Issued in NJ
Legal business name
CARE FOR KIDS PEDIATRICS LLC
Practice address
189 Walnut St
Newark, NJ 07105-1215
Phone
(973) 650-8821
NPI assigned
Jul 5, 2007
Last updated
Jul 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2008

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

Authorized official

Name
Dr. Maria Pilar Boyle, MD
Title
Owner
Phone
(973) 650-8821

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 25MA06254200 NJ Primary

Addresses

Primary practice location

189 Walnut St
Newark, NJ 07105-1215

Mailing address

189 Walnut St
Newark, NJ 07105-1215
Phone (973) 650-8821

National Provider Directory

National Provider Directory

Locations

189 Walnut St
Newark, NJ 07105
Phone (973) 578-4745

NPI Registry JSON

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1811195308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 WALNUT ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071051215",
            "telephone_number": "973-650-8821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 WALNUT ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071051215",
            "telephone_number": "973-650-8821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE FOR KIDS PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-05",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "BOYLE",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "PILAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-650-8821",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA06254200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.