KOALA PEDIATRICS (NPI# 1740842962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740842962 |
| Entity Type | Organization |
| Organization Name | KOALA PEDIATRICS |
| Practice Address |
121 Center Grove Rd Ste 15 Randolph NJ 07869-4453 |
| Practice Telephone | 9733614900 |
| Practice Fax Number | 9733611842 |
| Mailing Telephone | 9733614900 |
| Mailing Fax Number | 9733611842 |
| Enumeration Date | 2019-07-09 |
| Last Update Date | 2019-07-09 |
| Authorized Official Name | FIONA PAKONIS (PHYSICIAN) |
| Authorized Official Telephone | 9733614900 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Street Address |
121 CENTER GROVE RD STE 15 |
| City | RANDOLPH |
| State | NJ |
| Zip Code | 07869-4453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821163643 | Fiona Pakonis | Pediatrics | 121 Center Grove Rd Ste 15, Randolph, NJ 07869-4453 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699398149 | Jaclyn Philbin | Dietitian, Registered | 11 Middlebury Boulevard, Suite 9/10, Randolph, NJ 07869 | 2020-05-19 |
| 1548806896 | Daniel Patrick Walsh | Physical Therapist | 390 Route Nj 10, Suite 202, Randolph, NJ 07869 | 2019-11-21 |
| 1518516061 | New Jersey Center for Cognitive and Dialectical Behavior Therapy | Clinic/Center | 1250 Sussex Tpke Ste N, Randolph, NJ 07869 | 2019-09-07 |
| 1396306031 | Marilyn (lynn) G Teale | Specialist/Technologist | 1248 Sussex Tpk, Unit B11, Randolph, NJ 07869 | 2019-06-24 |
| 1497218580 | Christopher Lamorte | Dentist | 390 Nj-10 West, Randolph, NJ 07869 | 2019-04-07 |
| 1982101309 | Essex County Weightloss, LLC | Family Medicine | 81 State Road 10 East, Randolph, NJ 07869 | 2018-04-11 |
| 1699285569 | Raechel Jean Lofaro | Nurse Practitioner | 8 Chestnut Hil Road, Randolph, NJ 07869 | 2017-10-05 |
| 1851800114 | Stephanie Jasinski | Counselor | 19 Harmony Rd, Randolph, NJ 07869 | 2017-09-29 |
| 1144739244 | Dickerson Dental Group, LLC | Dentist | 714 Route 10, Randolph, NJ 07869 | 2017-09-21 |
| 1053831479 | Melissa Morgan | Pediatrics | College Plaza Pediatrics, 765 Route 10 East, Ste 203, Randolph, NJ 07869 | 2017-06-27 |
| Find all providers in zip 07869 | ||||
| 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 |
|---|---|---|---|---|
| 1053831479 | Melissa Morgan | Pediatrics | College Plaza Pediatrics, 765 Route 10 East, Ste 203, Randolph, NJ 07869 | 2017-06-27 |
| 1437336039 | Ricki L Gottlieb | Pediatrics | 765 Route 10 East, Suite 203, College Plaza Pediatrics, Randolph, NJ 07869-1925 | 2008-01-25 |
| 1649311960 | Randolph Pediatrics | Pediatrics | 715 Route 10, Randolph, NJ 07869 | 2007-02-09 |
| 1144395500 | John S Freiheiter Md Pa | Pediatrics | 16 Old Brookside Rd, Suite 2, Randolph, NJ 07869 | 2006-11-21 |
| 1821163643 | Fiona Pakonis | Pediatrics | 121 Center Grove Rd Ste 15, Randolph, NJ 07869-4453 | 2006-11-21 |
| 1154432276 | Julio C Guerra | Pediatrics | 765 Rt 10 East Suite 203, College Plaza Pediatrics, Randolph, NJ 07869-1925 | 2006-08-31 |
| 1598776056 | Marisa Ciufalo | Pediatrics | 715 Route 10 East, Randolph, NJ 07869 | 2006-08-10 |
| 1194768580 | Ita Scolnick | Pediatrics | 447 Route 10 East, Suite 16, Randolph, NJ 07869 | 2006-06-13 |
| 1265495717 | Karen Patashny | Pediatrics | 28 Wilkinson Rd, Randolph, NJ 07869-3470 | 2006-04-07 |
| 1528568698 | Joseph J Fritzky | Pediatrics | College Plaza Pediatrics, 165 Route 10 East, Suite 203, Randolph, NJ 07869 | 2018-02-15 |
| Find all providers in RANDOLPH | ||||
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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.