DESTYONCALL PEDIATRICS (NPI# 1073749222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073749222 |
| Entity Type | Organization |
| Organization Name | DESTYONCALL PEDIATRICS |
| Other Organization Name | DESTYONCALL HEALTHCARE |
| Practice Address |
321 Yale Ave Suite D Stratford NJ 08084-1247 |
| Practice Telephone | 8566276101 |
| Practice Fax Number | 8566276103 |
| Mailing Telephone | 8566276101 |
| Mailing Fax Number | 8566276103 |
| Enumeration Date | 2009-06-02 |
| Last Update Date | 2009-06-02 |
| Authorized Official Name | DR. GERDA AUGUSTIN (PEDIATRICIAN) |
| Authorized Official Telephone | 8566276101 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0063002 | 05 |
| Other Name | Type Code |
|---|---|
| DestyOnCall HealthCare | Other Name - Individual/Organization |
| Street Address |
321 YALE AVE SUITE D |
| City | STRATFORD |
| State | NJ |
| Zip Code | 08084-1247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023047495 | Patricia O'brien | Chiropractor | 321 Yale Ave, A, Stratford, NJ 08084-1247 | 2006-06-30 |
| 1376017673 | Brittany Violette Basco | Assistant Behavior Analyst | 321 Yale Ave, Stratford, NJ 08084-1247 | 2019-01-20 |
| 1982176244 | Jodie Justice | Behavioral Analyst | 321 Yale Ave, Stratford, NJ 08084-1247 | 2018-12-27 |
| 1164994844 | Colleen Hughes | Behavioral Analyst | 321 Yale Ave, Stratford, NJ 08084-1247 | 2018-12-19 |
| 1851757397 | Rita Christopher | Behavioral Analyst | 321 Yale Ave, Suite D, Stratford, NJ 08084-1247 | 2016-01-14 |
| 1053536094 | Dr. Patricia C. O'brien, PC | Chiropractor | 321 Yale Ave, A, Stratford, NJ 08084-1247 | 2007-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780209684 | Emily Lacount | Student in an Organized Health Care Education/Training Program | Louis Balsama, D.o., Program Director, Rowansom 42 E. Laurel Rd, Stratford, NJ 08084 | 2020-06-16 |
| 1356903124 | Maziyar Daneshvar | Student in an Organized Health Care Education/Training Program | Rowansom 42 E Laurel Road, Suite 3100, Philadelphia, NJ 08084 | 2019-07-02 |
| 1598321788 | Sylvia Orozco Silberman | Student in an Organized Health Care Education/Training Program | Fm: Alison Mancuso, Do, Prog Dir, Rowansom 42 E Laurel Road, Suite 2100a, Stratford, NJ 08084 | 2019-05-14 |
| 1831682939 | Shriya Jakkidi Reddy | Student in an Organized Health Care Education/Training Program | Rowansom 42 E. Laurel Road, Suite 3100, Stratford, NJ 08084 | 2018-06-13 |
| 1003336751 | Maulik D Shah | Student in an Organized Health Care Education/Training Program | 42 East Laurel Rd, Suite 3100, Stratford, NJ 08084 | 2017-06-23 |
| 1225566946 | Bhumi Shah | Student in an Organized Health Care Education/Training Program | 18 E Laurel Road, Em: Anthony Dipasquale, Do, Prog Dir, Rowansom, Stratford, NJ 08084 | 2017-05-25 |
| 1902259393 | Ameena Javed Jiwani | Family Medicine | Rowan Som 42 E Laurel Road, Ste. 2100a, Stratford, NJ 08084 | 2016-07-20 |
| 1104276823 | Akshay Sridhar | Student in an Organized Health Care Education/Training Program | One Medical Center Drive, Suite 162, Stratford, NJ 08084 | 2016-06-14 |
| 1144692138 | Amanda Wu | Physical Therapist | 1255 Caldewell Road, Cherry Hill, NJ 08084 | 2015-10-29 |
| 1215313010 | Nathaniel Paul Havens | Student in an Organized Health Care Education/Training Program | 42 E. Laurel Rd., Suite 2100a, Stratford, NJ 08084 | 2015-08-04 |
| Find all providers in zip 08084 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205958675 | Sophia Leonida M.d., PC | Clinic/Center | 2505 Main St., Stratford, CT 06615 | 2007-04-04 |
| 1497915359 | Fairfield Family Physicians,llc | Clinic/Center | 2184 Main St, Stratford, CT 06615-5937 | 2008-06-13 |
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| 1124586326 | Newmed Mua LLC | Clinic/Center | 831 Main Ave Ste 5a, Passaic, NJ 07055-8400 | 2019-03-06 |
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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.