WELLNESSCARE PEDIATRICS LLC (NPI# 1922535558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922535558 |
| Entity Type | Organization |
| Organization Name | WELLNESSCARE PEDIATRICS LLC |
| Practice Address |
57 Us Highway 46 Ste 200 Hackettstown NJ 07840-2695 |
| Mailing Address |
6 Holly Dr Budd Lake NJ 07828-1030 |
| Practice Telephone | 9085091801 |
| Mailing Telephone | 9082469799 |
| Enumeration Date | 2017-05-14 |
| Last Update Date | 2017-05-14 |
| Authorized Official Name | WARREN SCOTT LEDERER (COO) |
| Authorized Official Telephone | 9082469799 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Street Address |
57 US HIGHWAY 46 STE 200 |
| City | HACKETTSTOWN |
| State | NJ |
| Zip Code | 07840-2695 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740891894 | Amanda Kucevic | Assistant Behavior Analyst | 514 Moore Street, Hackettstown, NJ 07840 | 2020-08-12 |
| 1922571165 | Laura Montenegro | Social Worker | 3155 State Highway Route 10, Denville, NJ 07840 | 2019-01-10 |
| 1619447240 | Melissa Matturri | Pharmacist | 2045 Nj-57, Hackettstown, NJ 07840 | 2018-11-27 |
| 1164906806 | Best Choice Home Care Limited Liability Company | Home Health | 210a Goldfinch Court, Hackettstown, NJ 07840 | 2018-09-19 |
| 1003398405 | Qua Creative Kidz | Voluntary or Charitable | 707 Allen Rd, Hackettstown, NJ 07840 | 2018-08-31 |
| 1639669153 | Daniel A Jodexnis Jr. | Counselor | 112 East Ave Ste 9, Hackettstown, NJ 07840 | 2018-05-10 |
| 1649779489 | Advancing Opportunities, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 106 Possum Dr., Apt. 1, Hackettstown, NJ 07840 | 2018-02-07 |
| 1902305717 | Advancing Opportunities, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 185 Route 46 East, Apt. 1, Hackettstown, NJ 07840 | 2018-02-07 |
| 1538681473 | Sara Victoria Monk | Dietitian, Registered | 900 E Prospect Street, Hackettstown, NJ 07840 | 2017-07-12 |
| 1811426422 | Heather Mooneyhan | Nurse Practitioner | 57 U.S. 46, Suite #300, Hackettstown, NJ 07840 | 2017-06-07 |
| Find all providers in zip 07840 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386281459 | Integrative Pediatric and Adolescent Care | Pediatrics | 160 Mountain Ave Ste 100, Hackettstown, NJ 07840-2324 | 2019-12-07 |
| 1780755058 | Ching-hwa Chi | Pediatrics | 14 Yorkshire Dr, Hackettstown, NJ 07840-5604 | 2006-11-10 |
| 1609980366 | Jagdish C Chugh | Pediatrics | 182 Mountain Ave, Hackettstown, NJ 07840-2412 | 2006-08-19 |
| 1326045295 | Ksymena Kedzierska | Pediatrics | 4c Doctors Park, Hackettstown, NJ 07840-1716 | 2005-07-07 |
| 1548545163 | Primary Care Partners, LLC | Pediatrics | 254b Mountain Ave, Suite 304, Hackettstown, NJ 07840-2413 | 2011-10-14 |
| 1235365198 | Jeffrey Merkle Md, LLC | Pediatrics | 254 Mountain Ave, Suite 304, Hackettstown, NJ 07840-2407 | 2009-06-05 |
| 1538231964 | Plaza Family Care PC | Pediatrics | 657 Willow Grove St, Suite 401, Hackettstown, NJ 07840-1713 | 2006-11-14 |
| 1770597551 | Adam Dick | Pediatrics | 657 Willow Grove St, Suite 401, Hackettstown, NJ 07840-1713 | 2006-07-28 |
| 1063426021 | Ann Falbo | Pediatrics | 657 Willow Grove St, Suite 401, Hackettstown, NJ 07840-1713 | 2006-07-27 |
| 1588630784 | Patrick Caruso | Pediatrics | 657 Willow Grove St, Suite 401, Hackettstown, NJ 07840-1713 | 2006-02-27 |
| Find all providers in HACKETTSTOWN | ||||
| City | HACKETTSTOWN |
| Zip Code | 07840 |
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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.