EDGEWATER PEDIATRICS PC (NPI# 1104983717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104983717 |
Entity Type | Organization |
Organization Name | EDGEWATER PEDIATRICS PC |
Practice Address |
115 River Road Suite 1003 Building #10 Edgewater NJ 07020 |
Practice Telephone | 2019459453 |
Practice Fax Number | 2019459484 |
Mailing Telephone | 2019459453 |
Mailing Fax Number | 2019459484 |
Enumeration Date | 2007-01-02 |
Last Update Date | 2012-09-25 |
Authorized Official Name | SUSHMA D KAUL (PRESIDENT) |
Authorized Official Telephone | 2019459453 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208000000X | Pediatrics | MA65072NJ | NJ | Allopathic & Osteopathic Physicians |
N | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
MA65072NJ | NJ | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NJ | 8077401 | 05 |
Street Address |
115 RIVER ROAD SUITE 1003 BUILDING #10 |
City | EDGEWATER |
State | NJ |
Zip Code | 07020 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851737167 | One Hudson Medical Associates | Non-Pharmacy Dispensing Site | 1829 Hudson Park, Edgewater, NJ 07020 | 2013-05-14 |
1003164666 | Daisy Flores | Speech-Language Pathologist | 116 Panorama Drive, Edgewater, NJ 07020 | 2012-08-29 |
1518188622 | Barbara Nan Altman | Social Worker | 309 Thornton Court, Edgewater, NJ 07020 | 2007-05-02 |
1124173950 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 70 The Promenade Ste C5a, Edgewater, NJ 07020 | 2007-01-24 |
1255402293 | Skyview Dental Center LLP | Dentist | 880 River Road, 2nd Floor, Edgewater, NJ 07020 | 2006-11-13 |
1043228588 | Irfan Admani | Internal Medicine | 103 River Road, Edgewater, NJ 07020 | 2006-08-03 |
1851316319 | Duane Reade | Durable Medical Equipment & Medical Supplies | 11 Edgewater Towne Ctr, Edgewater, NJ 07020 | 2006-07-13 |
1679502215 | 968 River Road Radiology | Clinic/Center | 968 River Road, Edgewater, NJ 07020 | 2006-07-03 |
1447219191 | Corinne Jeanette Gehegan | Podiatrist | 725 River Road, Suite 201-a, Edgewater, NJ 07020 | 2006-03-21 |
1942715248 | Haejin Han | Optometrist | 449 River Rd, Edgewater, NJ 07020 | 2017-12-08 |
Find all providers in zip 07020 |
Taxonomy Code | 208000000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851669394 | Melissa Smith Dittrich | Pediatrics | 224 Mayo Rd Ste A, Edgewater, MD 21037-2951 | 2011-12-13 |
1306856059 | Anna Cecelia Hirshon | Pediatrics | 224 Mayo Road, Edgewater, MD 21037 | 2006-08-08 |
1982643011 | Albert Morton Gordon | Pediatrics | 224 Mayo Rd, Edgewater, MD 21037-2951 | 2006-06-05 |
1043203664 | Azam Baig | Pediatrics | 224a Mayo Road, Edgewater, MD 21037 | 2005-08-30 |
1922650258 | Alessandra Catizone | Pediatrics | 224 Mayo Rd, Edgewater, MD 21037-2951 | 2019-07-16 |
1265627053 | Jill Ann Tierney | Pediatrics | 224 Mayo Road, Edgewater, MD 21037 | 2007-09-14 |
1063616290 | Kennon Harris | Pediatrics | 224 Mayo Rd, Edgewater, MD 21037-2951 | 2007-06-12 |
1629181185 | Holly Ann Mohr | Pediatrics | 224 Mayo Rd, Edgewater, MD 21037-2951 | 2006-08-17 |
1679686133 | Marinela T Macaraeg | Pediatrics | 224 Mayo Rd, Edgewater, MD 21037-2951 | 2006-08-17 |
1942223458 | George Chai | Pediatrics | 725 River Rd, Edgewater, NJ 07020-1171 | 2006-07-25 |
Find all providers in EDGEWATER |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.