NPIMap

Organization Active NPI

Ivy Pediatrics, PA

  • Pediatrics Physician
  • Manalapan, NJ
National Provider Identifier
1871660407
Registry record updated Sep 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA075803 Issued in NJ
Legal business name
IVY PEDIATRICS, PA
Practice address
220 Bridge Plaza Dr
Manalapan, NJ 07726-1729
Phone
(732) 972-9525
Fax
(732) 972-9055
NPI assigned
Nov 29, 2006
Last updated
Sep 23, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2010

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

Authorized official

Name
Dr. Igor Trogan, MDNPI 1982650453
Title
President
Phone
(732) 972-9525

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25MA075803 NJ Primary

Addresses

Primary practice location

220 Bridge Plaza Dr
Manalapan, NJ 07726-1729

Mailing address

220 Bridge Plaza Dr
Manalapan, NJ 07726-1729
Phone (732) 972-9525

National Provider Directory

National Provider Directory

Locations

254 Princeton Hightstown Rd
East Windsor, NJ 08520
Phone (609) 448-7200

717 N Beers St
Ste 1F
Holmdel, NJ 07733
Phone (732) 739-2810

220 Bridge Plaza Dr
Manalapan, NJ 07726
Phone (732) 972-9525

175 N Broadway
South Amboy, NJ 08879

9 Mule Rd
Ste E16
Toms River, NJ 08755
Phone (201) 286-9333

Practitioners & affiliated clinicians

Practitioners 24

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.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285200000000",
    "number": "1871660407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 BRIDGE PLAZA DR",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077261729",
            "telephone_number": "732-972-9525",
            "fax_number": "732-972-9055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 BRIDGE PLAZA DR",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077261729",
            "telephone_number": "732-972-9525",
            "fax_number": "732-972-9055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVY PEDIATRICS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2010-09-23",
        "status": "A",
        "authorized_official_last_name": "TROGAN",
        "authorized_official_first_name": "IGOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-972-9525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA075803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manalapan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2010; 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.