Catherine D. Nicolaides, MD, Inc.

Primary specialty

Pediatric Neurodevelopmental Disabilities PhysicianTaxonomy code 2080P0008X

License

MA56616 Issued in NJ

Legal business name

CATHERINE D. NICOLAIDES, MD, INC.

Practice address

975 Tuckerton Rd
Marlton, NJ 08053-2663

Phone

(856) 983-6675

Fax

(856) 983-5243

NPI assigned

Jun 9, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Catherine Daphne Nicolaides, MD

Title

Physician/Owner

Phone

(856) 983-6675

Specialties & licenses 1

Addresses

Other names 1

• Developmental Pediatrics Doing business as

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212969600000",
    "number": "1962661587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 TUCKERTON RD",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080532663",
            "telephone_number": "856-983-6675",
            "fax_number": "856-983-5243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 TUCKERTON RD",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080532663",
            "telephone_number": "856-983-6675",
            "fax_number": "856-983-5243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHERINE D. NICOLAIDES, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-09",
        "last_updated": "2008-06-09",
        "status": "A",
        "authorized_official_last_name": "NICOLAIDES",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "DAPHNE",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "856-983-6675",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0008X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Neurodevelopmental Disabilities",
            "state": "NJ",
            "license": "MA56616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Developmental Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lindsay C. Case, M.S., CCC-SLP
• Daniel Casey, MD
• Mark Cashin
• Tracey Castella
• Jorge Luis Castro
• Barbara A Centanzo
• Center for Adult Medicine of SNJ PA
• Center for Counseling and Education
• Center for Family Guidance PC
• Center for Family Guidance, PC

• Pediatric Neurodevelopmental Disabilities Physician in Marlton, NJ
• Providers in Marlton, NJ by specialty
• Pediatric Neurodevelopmental Disabilities Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.