NPIMap

Organization Active NPI

Children'S Pediatricians & Associates, LLC

  • Pediatrics Physician
  • Upper Marlboro, MD
National Provider Identifier
1013350123
Registry record updated Apr 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D0023561 Issued in MD
Legal business name
CHILDREN'S PEDIATRICIANS & ASSOCIATES, LLC
Practice address
9692 Pennsylvania Ave
Upper Marlboro, MD 20772-3670
Phone
(301) 599-7300
Fax
(301) 599-0476
NPI assigned
Apr 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nasima Hossain, MHA, FACHE
Title
Executive Director
Phone
(202) 476-3114

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X D0023561 MD Primary

Addresses

Primary practice location

9692 Pennsylvania Ave
Upper Marlboro, MD 20772-3670

Mailing address

9692 Pennsylvania Ave
Upper Marlboro, MD 20772-3670
Phone (301) 599-7300

Other identifiers 1

IdentifierTypeStateIssuer
25800802MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Children'S Pediatricians Associates LLC18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

Organizations that report the same tax identification number in the National Provider Directory.

View all 17

Locations

9692 Marlboro Pike
Upper Marlboro, MD 20772
Phone (301) 599-0300

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1365465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365465600000",
    "number": "1013350123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9692 PENNSYLVANIA AVE",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207723670",
            "telephone_number": "301-599-7300",
            "fax_number": "301-599-0476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9692 PENNSYLVANIA AVE",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207723670",
            "telephone_number": "301-599-7300",
            "fax_number": "301-599-0476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S PEDIATRICIANS & ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-09",
        "last_updated": "2013-04-09",
        "status": "A",
        "authorized_official_last_name": "HOSSAIN",
        "authorized_official_first_name": "NASIMA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "202-476-3114",
        "authorized_official_credential": "MHA, FACHE"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0023561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "25800802",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.