Organization Active NPI

Linden Pediatric Group, P.a.

  • Pediatrics Physician
  • Elizabeth, NJ
National Provider Identifier
1881967099
Registry record updated Feb 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MA035801 Issued in NJ
Legal business name
LINDEN PEDIATRIC GROUP, P.A.
Practice address
517 Rahway Ave
Elizabeth, NJ 07202-2308
Phone
(908) 527-1247
Fax
(908) 354-8822
NPI assigned
Feb 17, 2012
Last updated
Feb 17, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2012

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

Authorized official

Name
Dr. Karpukarasi Ayyanathan, M.D.NPI 1083714273
Title
President
Phone
(908) 527-1247

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
Pediatrics Physician 208000000X MA035801 NJ Primary

Addresses

Primary practice location

517 Rahway Ave
Elizabeth, NJ 07202-2308

Mailing address

517 Rahway Ave
Elizabeth, NJ 07202-2308
Phone (908) 527-1247

National Provider Directory

National Provider Directory

Locations

517 Rahway Ave
Elizabeth, NJ 07202
Phone (908) 351-8200

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": "1329436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329436800000",
    "number": "1881967099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 RAHWAY AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072022308",
            "telephone_number": "908-527-1247",
            "fax_number": "908-354-8822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 RAHWAY AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072022308",
            "telephone_number": "908-527-1247",
            "fax_number": "908-354-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDEN PEDIATRIC GROUP, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-17",
        "last_updated": "2012-02-17",
        "status": "A",
        "authorized_official_last_name": "AYYANATHAN",
        "authorized_official_first_name": "KARPUKARASI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-527-1247",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "MA035801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.