Active NPI
Riverdale Park Pediatrics PC
- Pediatrics Physician
- Riverdale, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D0210275 | Riverdale Park Pediatrics PC | Compliance | Dec 9, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Riverdale Park Pediatrics PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pediatric Adolescent Medicine Physician
- Glen Burnie, MD
- NPI 1427887173
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.
-
- Pediatrics Physician
- Riverdale, MD
- NPI 1326485764
-
- Pediatrics Physician
- Baltimore, MD
- NPI 1073619375
-
- Family Nurse Practitioner
- Pasadena, MD
- NPI 1518472695
-
- Family Nurse Practitioner
- Riverdale, MD
- NPI 1891502076
-
- Medical Physician Assistant
- Riverdale, MD
- NPI 1366742116
-
- Family Nurse Practitioner
- Glen Burnie, MD
- NPI 1619217361
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.