Blueberry Medical of New Jersey PA

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

BLUEBERRY MEDICAL OF NEW JERSEY PA

Practice address

180 Talmadge Rd Unit 349
Edison, NJ 08817-2860

Phone

(754) 702-7256

NPI assigned

Feb 3, 2021

Last updated

Feb 3, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lyndsey Garbi, MD

Title

Owner / President

Phone

(754) 702-7256

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1612310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612310400000",
    "number": "1982296711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 SHERLAND AVE",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940433809",
            "telephone_number": "407-497-9203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 TALMADGE RD UNIT 349",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088172860",
            "telephone_number": "754-702-7256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEBERRY MEDICAL OF NEW JERSEY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-03",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A",
        "authorized_official_last_name": "GARBI",
        "authorized_official_first_name": "LYNDSEY",
        "authorized_official_title_or_position": "OWNER / PRESIDENT",
        "authorized_official_telephone_number": "754-702-7256",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatrics Physician in Edison, NJ
• Providers in Edison, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; 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.