KPUC, LLC (NPI# 1679812630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679812630 |
| Entity Type | Organization |
| Organization Name | KPUC, LLC |
| Other Organization Name | KINDER PEDIATRIC URGENT CARE |
| Practice Address |
530 Green St Suite 100 Iselin NJ 08830-2654 |
| Practice Telephone | 7323714400 |
| Mailing Telephone | 7323714400 |
| Enumeration Date | 2013-02-11 |
| Last Update Date | 2013-04-15 |
| Authorized Official Name | RUDRANI BELNEKAR (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7323714400 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0204X |
Pediatrics Specialization: Pediatric Emergency Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Kinder Pediatric Urgent Care | Doing Business As Name - Organization |
| Street Address |
530 GREEN ST SUITE 100 |
| City | ISELIN |
| State | NJ |
| Zip Code | 08830-2654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932267242 | Augustus Mosca | Dietitian, Registered | 530 Green St, Iselin, NJ 08830-2638 | 2006-12-05 |
| 1679018709 | Ann Marie Sullivan | Nurse Practitioner | 530 Green St, Iselin, NJ 08830-2654 | 2016-12-28 |
| 1033420435 | Tanya Beckman | Dietitian, Registered | 530 Green St, Iselin, NJ 08830-2654 | 2010-06-30 |
| 1164741252 | Rachael Sokolic | Dietitian, Registered | 530 Green St, Iselin, NJ 08830-2654 | 2010-05-28 |
| 1760714000 | Jaclyn Prusakowski | Dietitian, Registered | 530 Green St, Iselin, NJ 08830-2654 | 2010-02-11 |
| 1538497516 | Kingley Health Services Nj LLC | Psychologist | 530 Green St, Iselin, NJ 08830-2654 | 2009-12-02 |
| 1770818221 | Erin Headley | Dietitian, Registered | 530 Green St, Iselin, NJ 08830-2654 | 2009-10-15 |
| 1205075140 | Devon Golem | Dietitian, Registered | 530 Green St, Iselin, NJ 08830-2654 | 2009-02-17 |
| 1962653204 | Jodi Fitterman | Dietitian, Registered | 530 Green St, Iselin, NJ 08830-2654 | 2008-10-06 |
| 1700037033 | Alison Brown | Dietitian, Registered | 530 Green St, Iselin, NJ 08830-2654 | 2008-10-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013492271 | Anum Hassan | Audiologist | Woodbridge Corporate Plaza, 485 Route 1 South, Building B, Suite 350, Iselin, NJ 08830 | 2018-10-03 |
| 1437635117 | Ryan L Maurer | Optometrist | 485 Rt 1s, Building, Iselin, NJ 08830 | 2018-07-16 |
| 1003334673 | Rachel Nyaanga | Counselor | 203 Rivington St, Iselin, NJ 08830 | 2017-09-05 |
| 1427570464 | Eric Robert Devore | Optometrist | 485 Route 1 South Building A, Omni Eye Serevices, Iselin, NJ 08830 | 2017-07-12 |
| 1720500762 | Natalie Nguyen | Optometrist | 485 Route 1 South, Building A, Omni Eye Services, Iselin, NJ 08830 | 2017-07-12 |
| 1548617905 | Healthy Body Healthy Mind LLC | Community/Behavioral Health | 97 Grand Avenue, Iselin, NJ 08830 | 2016-05-16 |
| 1710344023 | Pallavi Baskaralingam | Nurse Practitioner | 38 West George Place, Iselin, NJ 08830 | 2016-01-19 |
| 1851722565 | Kelly Di Fabio | Dietitian, Registered | 485c Us Highway 1 South, Suite 350, Room 104, Iselin, NJ 08830 | 2013-12-05 |
| 1609212570 | Kenneth Bruce Harpster | Specialist/Technologist | 200 Middlesex - Essex Turnpike, Suite 306n, Iselin, NJ 08830 | 2013-05-17 |
| 1548565138 | Nancy Vasco | Physical Therapy Assistant | 30 Trento St, Iselin, NJ 08830 | 2011-01-13 |
| Find all providers in zip 08830 | ||||
| Taxonomy Code | 2080P0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Emergency Medicine |
| A pediatrician who has special qualifications to manage emergencies in infants and children. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] 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 |
|---|---|---|---|---|
| 1225371404 | Prerna Trivedy | Pediatrics | 1 Robert Wood Johnson Pl # Place342, New Brunswick, NJ 08901-1928 | 2013-04-05 |
| 1003038027 | Catherine Anne Scarfi | Pediatrics | Newark Beth Israel Medical Center- Emergency Medicine, 201 Lyons Ave. Dept. D11 (emergency Medicine), Newark, NJ 07112-0000 | 2007-05-02 |
| 1467848622 | Praneetha Chaganti | Pediatrics | 30 Prospect Ave, Hackensack, NJ 07601 | 2015-04-14 |
| 1588084404 | Nisha Polavarapu | Pediatrics | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2014-04-17 |
| 1023433794 | Minh-tu Do | Pediatrics | 1 Robert Wood Johnson Pl, Meb 342, New Brunswick, NJ 08901 | 2014-03-04 |
| 1174966816 | Sondra Maureen Nemetski | Pediatrics | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2013-04-11 |
| 1124361878 | Tina Dhebaria | Pediatrics | 1945 Route 33, Neptune, NJ 07753 | 2013-04-01 |
| 1427315068 | Christina Melchionne Miseo | Pediatrics | 100 Madison Ave, Morristown, NJ 07960-6136 | 2012-04-20 |
| 1477844827 | Uchechi Azubuine | Pediatrics | 201 Lyons Ave, Newark, NJ 07112-2027 | 2011-04-20 |
| 1750508149 | Maria Theresa Alvarez-ballway | Pediatrics | 150 Bergen St, Pediatric E.r, Newark, NJ 07103-2496 | 2007-04-19 |
| 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.