Provider Demographics
NPI:1164004180
Name:J&R PEDIATRICS PC
Entity Type:Organization
Organization Name:J&R PEDIATRICS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MADHOOLIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:VERMA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-366-3234
Mailing Address - Street 1:52 LINCOLN HWY STE 1A
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08820-3982
Mailing Address - Country:US
Mailing Address - Phone:732-366-3234
Mailing Address - Fax:732-605-5803
Practice Address - Street 1:52 LINCOLN HWY STE 1A
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08820-3982
Practice Address - Country:US
Practice Address - Phone:732-366-3234
Practice Address - Fax:732-605-5803
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-28
Last Update Date:2021-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty