Organization Active NPI

Bayonne Star Pediatrics LLC

  • Pediatrics Physician
  • Bayonne, NJ
National Provider Identifier
1841491016
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA08140300 Issued in NJ
Legal business name
BAYONNE STAR PEDIATRICS LLC
Practice address
924 Broadway
Bayonne, NJ 07002-3034
Phone
(201) 823-4141
NPI assigned
May 29, 2007
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. Shalini Nagarajan, M.D.
Title
Owner
Phone
(201) 823-4141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 25MA08140300 NJ Primary

Addresses

Primary practice location

924 Broadway
Bayonne, NJ 07002-3034

Mailing address

156 Woodbury Rd
Edison, NJ 08820-2972
Phone (732) 429-0335

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841491016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 WOODBURY RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202972",
            "telephone_number": "732-429-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 BROADWAY",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023034",
            "telephone_number": "201-823-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYONNE STAR PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NAGARAJAN",
        "authorized_official_first_name": "SHALINI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-823-4141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA08140300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayonne, 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.