CATHERINE D. NICOLAIDES, MD, INC. (NPI# 1962661587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962661587 |
| Entity Type | Organization |
| Organization Name | CATHERINE D. NICOLAIDES, MD, INC. |
| Other Organization Name | DEVELOPMENTAL PEDIATRICS |
| Practice Address |
975 Tuckerton Rd Marlton NJ 08053-2663 |
| Practice Telephone | 8569836675 |
| Practice Fax Number | 8569835243 |
| Mailing Telephone | 8569836675 |
| Mailing Fax Number | 8569835243 |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2008-06-09 |
| Authorized Official Name | DR. CATHERINE DAPHNE NICOLAIDES (PHYSICIAN/OWNER) |
| Authorized Official Telephone | 8569836675 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0008X |
Pediatrics Specialization: Neurodevelopmental Disabilities |
MA56616 | NJ | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Developmental Pediatrics | Doing Business As Name - Organization |
| Street Address |
975 TUCKERTON RD |
| City | MARLTON |
| State | NJ |
| Zip Code | 08053-2663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588721088 | Richard E Schwartz Dds-pc | Clinic/Center | 975 Tuckerton Rd, Marlton, NJ 08053-2663 | 2007-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619509288 | South Jersey Coping Clinic | Counselor | 525 Nj Route 73 South, Ste 306, Marlton, NJ 08053 | 2020-02-11 |
| 1780216952 | Aba Residential | Psychologist | 7 Cooper Ave Suit A, Marlton, NJ 08053 | 2020-02-06 |
| 1003447400 | Forrest Mark Waterman | Optometrist | 928 Nj-73, Evesham Township, NJ 08053 | 2020-02-04 |
| 1124666862 | Bh Brightview Greentree Opco, LLC | Alzheimer Center (Dementia Center) | 170 Grrentree Road, Marlton, NJ 08053 | 2019-12-12 |
| 1780226597 | Cassandra Ann Pistorius | Counselor | 77 Lakeside Dr, Marlton, NJ 08053 | 2019-10-14 |
| 1265099741 | Jessica Strassle | Occupational Therapist | 751 Nj-73, Suite 1, Marlton, NJ 08053 | 2019-05-21 |
| 1972169902 | Jefferson University Radiology Associates, LLC | Radiology | 999 Nj-73, # 101, Marlton, NJ 08053 | 2019-05-15 |
| 1235692120 | Liberty Corner Surgical Center At Marlton LLC | Clinic/Center | 95 Marlton Pike West, Marlton, NJ 08053 | 2019-04-09 |
| 1063995769 | Genesis Counseling Center, Inc. | Counselor | 2003 C Lincoln Dr. W., Marlton, NJ 08053 | 2018-09-10 |
| 1659853414 | Erika V Colbert | Nurse Practitioner | 1 Eves Drive 134, 134, Marlton, NJ 08053 | 2018-08-29 |
| Find all providers in zip 08053 | ||||
| Taxonomy Code | 2080P0008X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neurodevelopmental Disabilities |
| A pediatrician who treats children having developmental delays or learning disorders including those associated with visual and hearing impairment, mental retardation, cerebral palsy, spina bifida, autism and other chronic neurologic conditions. This specialist provides medical consultation and education and assumes leadership in the interdisciplinary management of children with neurodevelopmental disorders. They may also focus on the early identification and diagnosis of neurodevelopmental disabilities in infants and young children as well as on changes that occur as the child with developmental disabilities grows. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598209223 | Gerald Novak | Pediatrics | 17 Concord Ln, Skillman, NJ 08558-1606 | 2016-12-14 |
| 1518050129 | Barbara J Evans | Pediatrics | 36 Knickerbocker Dr, Belle Mead, NJ 08502-4544 | 2006-10-02 |
| 1053364489 | Susan Ann Roeloffs | Pediatrics | Highland Ave, Peapack, NJ 07977-0339 | 2006-05-18 |
| 1801862172 | Thomas A Rugino | Pediatrics | 94 Stevens Rd, Toms River, NJ 08755-1237 | 2006-02-27 |
| 1356948194 | Center for Child & Family Development | Pediatrics | 145 Washington St, Morristown, NJ 07960-8626 | 2020-10-05 |
| 1740849793 | Pops Therapy LLC | Pediatrics | 60 Pompton Ave Rear, Verona, NJ 07044-2946 | 2019-06-12 |
| 1861625907 | Tanishia Williams | Pediatrics | 3575 Quakerbridge Rd, Trenton, NJ 08619-1271 | 2009-08-24 |
| 1316156334 | Empowered Learning Center of Monmouth | Pediatrics | 615 Hope Rd, Bldg. 5b, Eatontown, NJ 07724-1277 | 2007-05-22 |
| 1619199551 | Michael Howard Geffner | Pediatrics | 1 Merck Dr, Ws3d-90, Whitehouse Station, NJ 08889-3400 | 2007-05-02 |
| 1902971971 | Vinod Kumari Goyal | Pediatrics | 201 Lyons Ave, Newark, NJ 07112-2027 | 2006-11-22 |
| Find all providers with the same taxonomy | ||||
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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.