DEWI S. SUDJONO-SANTOSO – NPI #1124417639
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.

Health Care Provider Taxonomy Code for Pediatrics

DEWI S. SUDJONO-SANTOSO is a provider located in CRANBURY TOWNSHIP, NJ. NPPES has assigned the NPI number 1124417639 to DEWI S. SUDJONO-SANTOSO on January 21, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. DEWI S. SUDJONO-SANTOSO is also known by the name SAME AS ABOVE. 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

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 S. SUDJONO-SANTOSO below.

NPI Profile for
DEWI S. SUDJONO-SANTOSO

NPI Number
1124417639
Enumeration Date

(more than 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DEWI S. SUDJONO-SANTOSO
Other Name: SAME AS ABOVE
Primary location
339 PRINCETON-HIGHTSTOWN RD
BUILDING B
CRANBURY TOWNSHIP, NJ 08512
Phone: (609) 918-1030 Fax: (609) 918-1322
Mailing address
Same as primary location
Organization Subpart
Yes - DEWI S. SUDJONO-SANTOSO is subpart of another organization.
Authorized Official
DEWI SUDJONO-SANTOSO
OWNER
Phone: (609) 918-1030
Updated
Identifiers

Identifiers for DEWI S. 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.

DescriptionIssuerStateIdentifier
MEDICAIDNJ1053342865
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 MA01513300

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.