Provider Type Icon

KINNELON MEDICAL & PEDIATRIC ASSOCIATES PA NPI 1760528681


NPI Information

NPI: 1760528681
Provider Name: KINNELON MEDICAL & PEDIATRIC ASSOCIATES, PA
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 31D0675903

Address:
170 KINNELON RD STE 28
KINNELON, NJ
ZIP 07405
Phone: (973) 838-1717
Get Directions

KINNELON MEDICAL & PEDIATRIC ASSOCIATES, PA is a family medicine in Kinnelon, NJ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. KINNELON MEDICAL & PEDIATRIC ASSOCIATES, PA NPI is 1760528681. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

170 KINNELON RD STE 28
KINNELON, NJ
ZIP 07405-347
Phone: (973) 838-1717
Fax: (973) 838-1775

The provider's authorized official is Abhay K Suda .
The authorized official title is President and has the following contact phone number (973) 838-1717.

The CLIA number assigned to this NPI record is 31D0675903 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/29/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine25MA08006300NEW JERSEYYes
2207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismMA34985NEW JERSEYX
3208000000XPediatricsMA43353NEW JERSEYX

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.