Bridgewater Pediatrics, LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

25MA07966300 Issued in NJ

Legal business name

BRIDGEWATER PEDIATRICS, LLC

Practice address

475 N Bridge St
Bridgewater, NJ 08807-2153

Phone

(908) 526-2100

Fax

(908) 526-2155

NPI assigned

Jan 27, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Nele Jessel, MD

Title

President

Phone

(908) 526-2100

Specialties & licenses 1

Addresses

Other names 1

• BRIDGEWATER-RARITAN PEDIATRICS Doing business as

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

{
    "created_epoch": "1327622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327622400000",
    "number": "1881966505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 N BRIDGE ST",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088072153",
            "telephone_number": "908-526-2100",
            "fax_number": "908-526-2155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 N BRIDGE ST",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088072153",
            "telephone_number": "908-526-2100",
            "fax_number": "908-526-2155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGEWATER PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-27",
        "last_updated": "2012-01-27",
        "status": "A",
        "authorized_official_last_name": "JESSEL",
        "authorized_official_first_name": "NELE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-526-2100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA07966300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRIDGEWATER-RARITAN PEDIATRICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bridgewater Internal Medicine
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• Bridgewater Medical Group PA
• Bridgewater Opco, LLC
• Bridgewater Optometric Center
• Bridgewater Senior Care, LLC
• Bridgewater Township
• Bridgewater-Raritan Regional School District
• Bridgeway Assisted Living LLC
• Bridgeway Care at Home, LLC

• Pediatrics Physician in Bridgewater, NJ
• Providers in Bridgewater, 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 Jan 27, 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.