BAYONNE PEDIATRIC PRACTICE (NPI# 1427416304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427416304 |
| Entity Type | Organization |
| Organization Name | BAYONNE PEDIATRIC PRACTICE |
| Practice Address |
765 Kennedy Blvd Bayonne NJ 07002 |
| Mailing Address |
765 Kennedy Blvd Bayonne NJ 07002-2804 |
| Practice Telephone | 2018234141 |
| Mailing Telephone | 2018234141 |
| Mailing Fax Number | 2018231141 |
| Enumeration Date | 2016-02-05 |
| Last Update Date | 2018-07-13 |
| Authorized Official Name | DR. SHALINI NAGARAJAN RAGHU (OWNER) |
| Authorized Official Telephone | 2018234141 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 25MA08140300 | NJ | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 21 Tamarack Rd, Edison, NJ 088203630 | 7324290335 |
| Street Address |
765 KENNEDY BLVD |
| City | BAYONNE |
| State | NJ |
| Zip Code | 07002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942355680 | Shalini Nagarajan Raghu | Pediatrics | 765 Kennedy Blvd, Bayonne, NJ 07002 | 2007-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205436029 | Nimitha Kumar | Dentist | 1216 John F Kennedy Blvd W, 2nd Floor, Bayonne, NJ 07002 | 2020-10-30 |
| 1972114437 | New Jersery Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 18-40 Goldsborough Drive, Bayonne, NJ 07002 | 2020-08-10 |
| 1134740707 | Paulanto Dental Clinic Corp | Clinic/Center | 189-195 Ave E, Bayonne, NJ 07002 | 2020-05-05 |
| 1093377152 | Moneeb Arshad Chohan | General Practice | 9 E 29th St, Bayonne, Bayonne, NJ 07002 | 2019-06-28 |
| 1477113835 | Jay Hwang | Dentist | 1160 John F. Kennedy Blvd, Suite B, Bayonne, NJ 07002 | 2019-06-18 |
| 1740845932 | Sara Shi | Student in an Organized Health Care Education/Training Program | Bayonne Medical Center, 29 E 29th St, Bayonne, NJ 07002 | 2019-05-03 |
| 1376003855 | S.akhtar.md.llc | Internal Medicine | 16 East 29th St, Bayonne, NJ 07002 | 2019-03-21 |
| 1144799701 | Perfect Home Care | Home Health | 473 Broadway Suite 402, Bayonne, NJ 07002 | 2018-11-13 |
| 1881174688 | Windmill Alliance Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 184 186 Hobart Avenue, Apartment #2, Bayonne, NJ 07002 | 2018-08-21 |
| 1437642774 | Agape Chen | Student in an Organized Health Care Education/Training Program | 29th Street & Avenue E, Bayonne, NJ 07002 | 2018-06-12 |
| Find all providers in zip 07002 | ||||
| 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 |
|---|---|---|---|---|
| 1386987154 | Mihir A Tolat | Pediatrics | 89 W 13th St, Bayonne, NJ 07002-1343 | 2013-03-31 |
| 1982803474 | Parul Patel | Pediatrics | 45 E 51st St, Bayonne, NJ 07002-4116 | 2007-07-13 |
| 1942355680 | Shalini Nagarajan Raghu | Pediatrics | 765 Kennedy Blvd, Bayonne, NJ 07002 | 2007-01-24 |
| 1174680722 | Sayed R Aly | Pediatrics | 451 Broadway, Bayonne, NJ 07002-3623 | 2007-01-02 |
| 1255428124 | Nerissa Malabanan | Pediatrics | 1222 Kennedy Blvd, Bayonne, NJ 07002-9211 | 2006-10-10 |
| 1497799183 | Vincent Joseph Serafino | Pediatrics | 834 Avenue C, Bayonne, NJ 07002-2901 | 2006-06-15 |
| 1427025956 | Aurora Baladad Dorneo | Pediatrics | 850 Avenue C, Bayonne, NJ 07002-2916 | 2006-03-02 |
| 1043787781 | Advocare, LLC | Pediatrics | 1222 Kennedy Blvd, Bayonne, NJ 07002-9211 | 2018-10-31 |
| 1770081085 | Aurora B. Dorneo Md PC | Pediatrics | 850 Avenue C, Bayonne, NJ 07002-2981 | 2018-02-01 |
| 1316386592 | Midtown Pediatrics | Pediatrics | 834 Avenue C, Bayonne, NJ 07002 | 2013-06-20 |
| Find all providers in BAYONNE | ||||
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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.