DEWI S. SUDJONO-SANTOSO MEDICAL DOCTOR – NPI #1053342865
Pediatrics

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

DEWI SUDJONO-SANTOSO is a physician located in HIGHTSTOWN, NJ. NPPES has assigned the NPI number 1053342865 to DEWI SUDJONO-SANTOSO on July 06, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2080A0000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Adolescent Medicine

The NPI profile was previously updated about 19 years ago on Jul 08, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DEWI SUDJONO-SANTOSO below.

NPI Profile for
DEWI S. SUDJONO-SANTOSO

NPI Number
1053342865
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
DEWI S. SUDJONO-SANTOSO
Credentials
MEDICAL DOCTOR
Primary location
251 PRINCETON HIGHTOWN RD
HIGHTSTOWN, NJ 08520
Phone: (609) 448-1421 Fax: (609) 395-1978
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Identifiers

Identifiers for DEWI SUDJONO-SANTOSO

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERAETNA HMO36701
OTHERAETNA PPO4058994
OTHERAMERGRP82836
OTHERAMERHLTH HMO0404226610
OTHERAMERHLTH PPO385405
OTHERCIGNA3134649
OTHERHEALTH NET2K0986
OTHEROXFORDMEP135
OTHERUNHC249850
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2080A0000X
- Pediatrics / Adolescent Medicine (Primary)
NJ MA06441900

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.