NPIMap

Organization Active NPI

Kerry Kirifides, M.D., P.a.

Doing business as Just Kids Pediatrics

  • Pediatrics Physician
  • Newark, DE
National Provider Identifier
1922214030
Registry record updated Sep 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2007216425 Issued in DE
Legal business name
KERRY KIRIFIDES, M.D., P.A.
Doing business as
Just Kids Pediatrics
Practice address
875 Aaa Blvd
Suite C
Newark, DE 19713-3624
Phone
(302) 918-6400
Fax
(302) 918-6412
NPI assigned
May 15, 2007
Last updated
Sep 23, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2015

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

Authorized official

Name
Dr. Kerry S. Kirifides, M.D.
Title
President
Phone
(302) 918-6400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2007216425 DE Primary

Addresses

Primary practice location

875 Aaa Blvd
Suite C
Newark, DE 19713-3624

Mailing address

875 Aaa Blvd
Suite C
Newark, DE 19713-3624
Phone (302) 918-6400

Other names 1

  • Just Kids Pediatrics Doing business as

National Provider Directory

National Provider Directory

Locations

875 AAA Blvd
Ste C
Newark, DE 19713
Phone (302) 918-6400

Practitioners & affiliated clinicians

Practitioners 9

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": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442966400000",
    "number": "1922214030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 AAA BLVD",
            "address_2": "SUITE C",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197133624",
            "telephone_number": "302-918-6400",
            "fax_number": "302-918-6412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 AAA BLVD",
            "address_2": "SUITE C",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197133624",
            "telephone_number": "302-918-6400",
            "fax_number": "302-918-6412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERRY KIRIFIDES, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2015-09-23",
        "status": "A",
        "authorized_official_last_name": "KIRIFIDES",
        "authorized_official_first_name": "KERRY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-918-6400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "DE",
            "license": "2007216425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Just Kids Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2015; 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.