Organization Active NPI

Cranford Pediatric Care LLC

  • Pediatrics Physician
  • Cranford, NJ
National Provider Identifier
1932560968
Registry record updated Mar 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
CRANFORD PEDIATRIC CARE LLC
Practice address
198 North Ave E
Cranford, NJ 07016-2469
Phone
(908) 653-1001
NPI assigned
Mar 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2016

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

Authorized official

Name
Neelam Khadke, M.D
Title
Pediatrician
Phone
(347) 989-7481

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

198 North Ave E
Cranford, NJ 07016-2469

Mailing address

64 Middlesex Ave
Edison, NJ 08820-3522
Phone (347) 989-7481

National Provider Directory

National Provider Directory

Locations

198 North Ave E
Cranford, NJ 07016
Phone (908) 272-0006

NPI Registry JSON

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

{
    "created_epoch": "1458259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458259200000",
    "number": "1932560968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 MIDDLESEX AVE",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203522",
            "telephone_number": "347-989-7481",
            "fax_number": "908-653-1037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 NORTH AVE E",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070162469",
            "telephone_number": "908-653-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRANFORD PEDIATRIC CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-18",
        "last_updated": "2016-03-18",
        "status": "A",
        "authorized_official_last_name": "KHADKE",
        "authorized_official_first_name": "NEELAM",
        "authorized_official_title_or_position": "PEDIATRICIAN",
        "authorized_official_telephone_number": "347-989-7481",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2016; 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.