NPIMap

Organization Active NPI

Ollmc Neonatal Associates

  • Neonatal-Perinatal Medicine Physician
  • Elmer, NJ
National Provider Identifier
1942534243
Registry record updated Mar 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
25MA03693600 Issued in NJ
Legal business name
OLLMC NEONATAL ASSOCIATES
Practice address
501 Front St
Elmer, NJ 08318-2101
Phone
(856) 363-1000
NPI assigned
Sep 21, 2009
Organization subpart
Yes
Parent organization
OLLMC NEONATAL ASSOIATESAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Margaret Fernandes, M. D.
Title
Medical Director
Phone
(856) 757-3988

Corporate family (same tax ID) 5

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

National Provider Directory
Tax ID family
Ollmc Neonatal Associates (6 organizations share this tax ID)
Part of
Ollmc Neonatal Associates

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080N0001X 25MA03693600 NJ Primary

Addresses

NPPES NPI Registry

Primary practice location

501 Front St
Elmer, NJ 08318-2101

Mailing address

1600 Haddon Ave
Icn
Camden, NJ 08103-3101
Phone (856) 757-3988

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
3169405MedicaidNJ

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 22, 2010.

{
    "created_epoch": "1253491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269216000000",
    "number": "1942534243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 HADDON AVE",
            "address_2": "ICN",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081033101",
            "telephone_number": "856-757-3988",
            "fax_number": "856-365-7868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 FRONT ST",
            "city": "ELMER",
            "state": "NJ",
            "postal_code": "083182101",
            "telephone_number": "856-363-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLLMC NEONATAL ASSOCIATES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OLLMC NEONATAL ASSOIATES",
        "enumeration_date": "2009-09-21",
        "last_updated": "2010-03-22",
        "status": "A",
        "authorized_official_last_name": "FERNANDES",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "856-757-3988",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "NJ",
            "license": "25MA03693600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3169405",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmer, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2010; 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.