NPIMap

Organization Active NPI

Ollmc Neonatal Associates

  • Neonatal-Perinatal Medicine Physician
  • Woodbury, NJ
National Provider Identifier
1962652891
Registry record updated Sep 29, 2008
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
509 N Broad St
Woodbury, NJ 08096-1617
Phone
(856) 845-0100
NPI assigned
Sep 29, 2008
Organization subpart
Yes
Parent organization
OLLMC NEONATAL ASSOCIATESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 29, 2008

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

Authorized official

Name
Margaret Fernandes, M. D.
Title
Chief of Neonatology
Phone
(856) 757-3988

Specialties & licenses 1

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

Addresses

Primary practice location

509 N Broad St
Woodbury, NJ 08096-1617

Mailing address

500 Grove St
Suite 100
Haddon Heights, NJ 08035-1736
Phone (856) 796-9200

Other identifiers 1

IdentifierTypeStateIssuer
3169405MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Ollmc Neonatal Associates6 organizations share this tax ID, including this one
Part of
Ollmc Neonatal Associates

Other organizations with this tax ID 5

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1222646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222646400000",
    "number": "1962652891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 GROVE ST",
            "address_2": "SUITE 100",
            "city": "HADDON HEIGHTS",
            "state": "NJ",
            "postal_code": "080351736",
            "telephone_number": "856-796-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 N BROAD ST",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080961617",
            "telephone_number": "856-845-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLLMC NEONATAL ASSOCIATES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OLLMC NEONATAL ASSOCIATES",
        "enumeration_date": "2008-09-29",
        "last_updated": "2008-09-29",
        "status": "A",
        "authorized_official_last_name": "FERNANDES",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "CHIEF OF NEONATOLOGY",
        "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 Woodbury, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2008; 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.