Washington Pediatric Assoc, LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

25MB06915100 Issued in NJ

Legal business name

WASHINGTON PEDIATRIC ASSOC, LLC

Practice address

400 Medical Center Dr
Sewell, NJ 08080-2362

Phone

(856) 589-0011

Fax

(856) 589-5015

NPI assigned

Jun 19, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Kevin Jerome Kargman, D.O.NPI 1407810302

Title

Doctor

Phone

(856) 589-0011

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

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

• Kevin J Kargman, D.O.

  • Pediatrics Physician
  • Sewell, NJ
  • NPI 1407810302
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379980800000",
    "number": "1841553401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 MEDICAL CENTER DR # 5",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802362",
            "telephone_number": "856-589-0011",
            "fax_number": "856-589-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MEDICAL CENTER DR",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802362",
            "telephone_number": "856-589-0011",
            "fax_number": "856-589-5015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON PEDIATRIC ASSOC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-19",
        "last_updated": "2013-09-24",
        "status": "A",
        "authorized_official_last_name": "KARGMAN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "JEROME",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "856-589-0011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MB06915100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8930805",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayla Walker, OTR/L
• Warren S Wallace, ED.D, LPC
• Robert N Walsh, P.T.
• Brielle Mackenzie Walto
• Robert J Warkala, DPM
• Washington Psychological Services
• Washington Township Board F Education
• Washington Township Corf, LLC (Advantage Therapy Centers)
• Washington TWP Dental Assoc, P.a.
• Washinton TWP Neurology Associates, PC

• Pediatrics Physician in Sewell, NJ
• Providers in Sewell, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.