Wellnesscare Pediatrics LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

WELLNESSCARE PEDIATRICS LLC

Practice address

57 US Highway 46 Ste 200
Hackettstown, NJ 07840-2695

Phone

(908) 509-1801

NPI assigned

May 14, 2017

Organization subpart

No

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

Authorized official

Name

Warren Scott Lederer

Title

Coo

Phone

(908) 246-9799

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1494720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494720000000",
    "number": "1922535558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 HOLLY DR",
            "city": "BUDD LAKE",
            "state": "NJ",
            "postal_code": "078281030",
            "telephone_number": "908-246-9799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 US HIGHWAY 46 STE 200",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078402695",
            "telephone_number": "908-509-1801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESSCARE PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-14",
        "last_updated": "2017-05-14",
        "status": "A",
        "authorized_official_last_name": "LEDERER",
        "authorized_official_first_name": "WARREN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "908-246-9799"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatrics Physician in Hackettstown, NJ
• Providers in Hackettstown, 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 May 14, 2017; 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.