Organization Active NPI

Riverdale Park Pediatrics PC

  • Pediatrics Physician
  • Riverdale, MD
National Provider Identifier
1013386846
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
RIVERDALE PARK PEDIATRICS PC
Practice address
6103 Baltimore Ave
Suite T-1
Riverdale, MD 20737-1966
Phone
(301) 277-2779
Fax
(301) 277-6947
NPI assigned
Sep 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Authorized official

Name
Edwin F. Aguilar, M.D.
Title
Director
Phone
(301) 277-2779

Specialties & licenses 1

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

Addresses

Primary practice location

6103 Baltimore Ave
Suite T-1
Riverdale, MD 20737-1966

Mailing address

6103 Baltimore Ave
Suite T-1
Riverdale, MD 20737-1966
Phone (301) 277-2779

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D0210275Riverdale Park Pediatrics PC6103 Baltimore Ave T-1, Riverdale, MD 20737ComplianceDec 9, 2027

National Provider Directory

National Provider Directory
Tax ID family
Riverdale Park Pediatrics PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

6103 Baltimore Ave
Ste 1
Riverdale, MD 20737

6103 Baltimore Ave
Riverdale, MD 20737
Phone (240) 602-4164

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1442966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748476800000",
    "number": "1013386846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6103 BALTIMORE AVE",
            "address_2": "SUITE T-1",
            "city": "RIVERDALE",
            "state": "MD",
            "postal_code": "207371966",
            "telephone_number": "301-277-2779",
            "fax_number": "301-277-6947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6103 BALTIMORE AVE",
            "address_2": "SUITE T-1",
            "city": "RIVERDALE",
            "state": "MD",
            "postal_code": "207371966",
            "telephone_number": "301-277-2779",
            "fax_number": "301-277-6947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERDALE PARK PEDIATRICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-23",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A",
        "authorized_official_last_name": "AGUILAR",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "301-277-2779",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverdale, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.