Provider Demographics
NPI:1043650252
Name:RISE & SHINE PEDIATRICS, PC
Entity Type:Organization
Organization Name:RISE & SHINE PEDIATRICS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KALPANA
Authorized Official - Middle Name:
Authorized Official - Last Name:KUMARI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-205-0632
Mailing Address - Street 1:908 OAK TREE AVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:SOUTH PLAINFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07080-5100
Mailing Address - Country:US
Mailing Address - Phone:908-205-0632
Mailing Address - Fax:908-205-0629
Practice Address - Street 1:908 OAK TREE AVE
Practice Address - Street 2:SUITE C
Practice Address - City:SOUTH PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07080-5100
Practice Address - Country:US
Practice Address - Phone:908-205-0632
Practice Address - Fax:908-205-0629
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-02
Last Update Date:2013-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08479500208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty