NPIMap

Organization Active NPI

Bloomfield Pediatrics,P.a.

  • Pediatric Adolescent Medicine Physician
  • Bloomfield, NJ
National Provider Identifier
1831215896
Registry record updated Apr 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
MA065388 Issued in NJ
Legal business name
BLOOMFIELD PEDIATRICS,P.A.
Practice address
329 Belleville Avenue
2ND Floor
Bloomfield, NJ 07003-5902
Phone
(973) 743-0202
Fax
(973) 743-0777
NPI assigned
Mar 22, 2007
Last updated
Apr 2, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2012

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

Authorized official

Name
Dr. Edna Retiracion Lopez-Maslak, M.D.NPI 1396716767
Title
Owner
Phone
(973) 743-0202

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080A0000X MA065388 NJ Primary

Addresses

Primary practice location

329 Belleville Avenue
2ND Floor
Bloomfield, NJ 07003-5902

Mailing address

329 Belleville Avenue
2ND Floor
Bloomfield, NJ 07003-5902
Phone (973) 743-0202

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2676/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

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": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333324800000",
    "number": "1831215896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 BELLEVILLE AVENUE",
            "address_2": "2ND FLOOR",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070035902",
            "telephone_number": "973-743-0202",
            "fax_number": "973-743-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 BELLEVILLE AVENUE",
            "address_2": "2ND FLOOR",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070035902",
            "telephone_number": "973-743-0202",
            "fax_number": "973-743-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMFIELD PEDIATRICS,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2012-04-02",
        "status": "A",
        "authorized_official_last_name": "LOPEZ-MASLAK",
        "authorized_official_first_name": "EDNA",
        "authorized_official_middle_name": "RETIRACION",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-743-0202",
        "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": "MA065388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2012; 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.