Pediatric Associates PA

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PEDIATRIC ASSOCIATES PA

Practice address

444 Neptune Boulevard Suite 4
Neptune, NJ 07753

Phone

(732) 774-4332

Fax

(732) 774-4077

NPI assigned

Mar 15, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mary Yee, MDNPI 1881628246

Title

President

Phone

(732) 774-4332

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IJCFBA

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Yee, MD

  • Pediatrics Physician
  • Neptune, NJ
  • NPI 1881628246
  NPD (past) Authorized official
• Glenn Advincula Salcedo, MD

  • Pediatrics Physician
  • Jackson, NJ
  • NPI 1386679645
  NPD (past)

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426636800000",
    "number": "1992839757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 NEPTUNE BOULEVARD SUITE 4",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "07753",
            "telephone_number": "732-774-4332",
            "fax_number": "732-774-4077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 NEPTUNE BOULEVARD SUITE 4",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "07753",
            "telephone_number": "732-774-4332",
            "fax_number": "732-774-4077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2015-03-18",
        "status": "A",
        "authorized_official_last_name": "YEE",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-774-4332",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2626608",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vishaal Patel, MD
• Vrushak P Patel, MD
• Bruce Patsner, M.D.
• Jordan Elizabeth Peake
• Stephen A Pear, RPH
• Cathy Margaret Pelican, APN
• Richard Valderas Penalosa Jr.
• Rachel Penn, MD
• Stephanie Anne Pepper
• Grace Isabel Perez, MD

• Pediatrics Physician in Neptune, NJ
• Providers in Neptune, 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 Mar 18, 2015; 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.