Active NPI
Mrunalinin Donde, M.D.
- Pediatrics Physician
- Freehold, NJ
National Provider Identifier
1952399446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MA29724
- Practice address
- 222 Schanck Rd
Freehold, NJ 07728-2974 - Phone
- (732) 431-3373
- Fax
- (732) 305-0172
- NPI assigned
- Oct 10, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MA29724 | NJ | Primary |
Addresses
Primary practice location
222 Schanck Rd
Freehold, NJ 07728-2974
Mailing address
222 Schanck Rd
Freehold, NJ 07728-2974
Phone (732) 431-3373
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6817505 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA29724 | NJ | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264464000000",
"number": "1952399446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 SCHANCK RD",
"city": "FREEHOLD",
"state": "NJ",
"postal_code": "077282974",
"telephone_number": "732-431-3373",
"fax_number": "732-305-0172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 SCHANCK RD",
"city": "FREEHOLD",
"state": "NJ",
"postal_code": "077282974",
"telephone_number": "732-431-3373",
"fax_number": "732-305-0172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONDE",
"first_name": "MRUNALININ",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-10",
"last_updated": "2010-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "MA29724",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6817505",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Freehold, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.