Active NPI
Pediatrics at River'S Edge, Inc
- Pediatrics Physician
- New Port Richey, FL
National Provider Identifier
1003217183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- PEDIATRICS AT RIVER'S EDGE, INC
- Practice address
- 9948 Grove Dr
New Port Richey, FL 34654-3403 - Phone
- (727) 844-3551
- Fax
- (727) 847-0427
- NPI assigned
- Sep 9, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Aldo C Dondero, MD
- Title
- President
- Phone
- (727) 844-3551
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary | ||
| Pediatric Nurse Practitioner | 363LP0200X | 3078370 | FL | |
| Pediatric Nurse Practitioner | 363LP0200X | 1881067460 | FL |
Addresses
Primary practice location
9948 Grove Dr
New Port Richey, FL 34654-3403
Mailing address
9948 Grove Dr
New Port Richey, FL 34654-3403
Phone (727) 844-3551
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 268389000 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
9948 Grove Dr
New Prt Rchy, FL 34654
Phone (727) 844-3551
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Clearwater, FL
- NPI 1891760484
-
- Pediatrics Physician
- New Port Richey, FL
- NPI 1649270323
-
- Pediatric Clinical Nurse Specialist
- New Port Richey, FL
- NPI 1881067460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410220800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1735516800000",
"number": "1003217183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9948 GROVE DR",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346543403",
"telephone_number": "727-844-3551",
"fax_number": "727-847-0427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9948 GROVE DR",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346543403",
"telephone_number": "727-844-3551",
"fax_number": "727-847-0427"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEDIATRICS AT RIVER'S EDGE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-09-09",
"last_updated": "2024-12-30",
"certification_date": "2024-12-30",
"status": "A",
"authorized_official_last_name": "DONDERO",
"authorized_official_first_name": "ALDO",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "727-844-3551",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LP0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Pediatrics",
"state": "FL",
"license": "3078370",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Pediatrics",
"state": "FL",
"license": "1881067460",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "268389000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Port Richey, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.