Organization Active NPI

Warren Pediatric Associates

  • Pediatric Adolescent Medicine Physician
  • Warren, NJ
National Provider Identifier
1821369422
Registry record updated Jan 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
25 MA07409200 Issued in NJ
Legal business name
WARREN PEDIATRIC ASSOCIATES
Practice address
34 Mountain Blvd
BLDG a Suite 130
Warren, NJ 07059-2640
Phone
(908) 490-0900
Fax
(908) 490-0910
NPI assigned
Jan 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2012

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

Authorized official

Name
Dr. Vasavi Parikh, M.D.
Title
Owner
Phone
(908) 490-0900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080A0000X 25 MA07409200 NJ Primary

Addresses

Primary practice location

34 Mountain Blvd
BLDG a Suite 130
Warren, NJ 07059-2640

Mailing address

PO Box 4584
Warren, NJ 07059-0584
Phone (908) 490-0900

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
31D2036511Warren Pediatric Associates34 Mountain Blvd, BLDG a Ste 130, Warren, NJ 07059Certificate of waiverFeb 7, 2028

National Provider Directory

National Provider Directory

Locations

34 Mountain Blvd
Bldg A
Warren, NJ 07059
Phone (908) 490-0900

NPI Registry JSON

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

{
    "created_epoch": "1326412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326412800000",
    "number": "1821369422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4584",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070590584",
            "telephone_number": "908-490-0900",
            "fax_number": "908-490-0910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 MOUNTAIN BLVD",
            "address_2": "BLDG A SUITE 130",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070592640",
            "telephone_number": "908-490-0900",
            "fax_number": "908-490-0910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARREN PEDIATRIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-13",
        "last_updated": "2012-01-13",
        "status": "A",
        "authorized_official_last_name": "PARIKH",
        "authorized_official_first_name": "VASAVI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-490-0900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NJ",
            "license": "25 MA07409200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.