Active NPI
Pediatrics of South Brunswick PA
- Pediatrics Physician
- Dayton, NJ
National Provider Identifier
1972565356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- PEDIATRICS OF SOUTH BRUNSWICK PA
- Practice address
- 395 Ridge Rd
Suite 6
Dayton, NJ 08810-1398 - Phone
- (732) 274-2727
- Fax
- (732) 274-1662
- NPI assigned
- Apr 3, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Thomas A Genco, MD
- Title
- MD Owner
- Phone
- (732) 274-2727
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
395 Ridge Rd
Suite 6
Dayton, NJ 08810-1398
Mailing address
395 Ridge Rd
Suite 6
Dayton, NJ 08810-1398
Phone (732) 274-2727
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pediatrics Physician
- Dayton, NJ
- NPI 1497714398
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144022400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1972565356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "395 RIDGE RD",
"address_2": "SUITE 6",
"city": "DAYTON",
"state": "NJ",
"postal_code": "088101398",
"telephone_number": "732-274-2727",
"fax_number": "732-274-1662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "395 RIDGE RD",
"address_2": "SUITE 6",
"city": "DAYTON",
"state": "NJ",
"postal_code": "088101398",
"telephone_number": "732-274-2727",
"fax_number": "732-274-1662"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEDIATRICS OF SOUTH BRUNSWICK PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-03",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GENCO",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "MD OWNER",
"authorized_official_telephone_number": "732-274-2727",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dayton, NJ
- Parr Enterprises LLC (Dawn to Dusk Wellbeing Center)
- Bharat S Parulekar
- Parulekars LLC (Actikare Responsive In-Home Care)
- Mona Patel, OTR/L
- Danielle Patulot, MOT, OTR/L
- Airah Pineda
- Joseph Pizzimenti
- Girish Prajapati
- Princeton Healthcare Affiliated Physicians PC (Princeton HealthCare Family Medicine at Dayton)
- Kokila Punia, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.