Active NPI
Northern Lancaster County Medical Group
- Pediatrics Physician
- Lititz, PA
National Provider Identifier
1003995960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- NORTHERN LANCASTER COUNTY MEDICAL GROUP
- Practice address
- 100 Highlands Dr
Suite 204
Lititz, PA 17543-7693 - Phone
- (717) 626-5437
- NPI assigned
- Nov 3, 2006
- 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
- Ms. Cynthia Malizia
- Title
- Vice-President
- Phone
- (717) 738-2280
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
100 Highlands Dr
Suite 204
Lititz, PA 17543-7693
Mailing address
PO Box 398
Brownstown, PA 17508-0398
Phone (717) 859-2038
Other names 1
- Grace Pediatrics
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1003995960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 398",
"city": "BROWNSTOWN",
"state": "PA",
"postal_code": "175080398",
"telephone_number": "717-859-2038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 HIGHLANDS DR",
"address_2": "SUITE 204",
"city": "LITITZ",
"state": "PA",
"postal_code": "175437693",
"telephone_number": "717-626-5437"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHERN LANCASTER COUNTY MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-03",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MALIZIA",
"authorized_official_first_name": "CYNTHIA",
"authorized_official_title_or_position": "VICE-PRESIDENT",
"authorized_official_telephone_number": "717-738-2280",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Grace Pediatrics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lititz, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.