Pediatric Care Group, P.C.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PEDIATRIC CARE GROUP, P.C.

Practice address

890 2ND Street Pike Ste 904
Richboro, PA 18954-1021

Phone

(215) 515-8700

Fax

(215) 885-8795

NPI assigned

Nov 5, 2019

Last updated

Mar 12, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marylee Mundell, D.O.NPI 1508833609

Title

Managing Physician

Phone

(215) 885-8700

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Tax ID family

Pediatric Care Group PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Pediatric Care Group, P.C.

  dba PCG Internal Medicine

  • Internal Medicine Physician
  • Jenkintown, PA
  • NPI 1093129157
  NPD tax ID
• Pediatric Care Group, P.C.

  dba Pediatric Care Group

  • Pediatrics Physician
  • Jenkintown, PA
  • NPI 1760451421
  NPD tax ID

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marylee Mundell, DO

  • Pediatrics Physician
  • Jenkintown, PA
  • NPI 1508833609
  NPD (past) Authorized official
• Bailey Ivanoski, CRNP

  • Pediatric Nurse Practitioner
  • Jenkintown, PA
  • NPI 1417734708
  NPD (past)
• Elizabeth Valle Kogler, DO

  • Student in an Organized Health Care Education/Training Program
  • Neptune, NJ
  • NPI 1598329849
  NPD (past)

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

{
    "created_epoch": "1572912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583971200000",
    "number": "1023652708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 OLD YORK RD STE 620",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190463719",
            "telephone_number": "215-885-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 2ND STREET PIKE STE 904",
            "city": "RICHBORO",
            "state": "PA",
            "postal_code": "189541021",
            "telephone_number": "215-515-8700",
            "fax_number": "215-885-8795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC CARE GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-05",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A",
        "authorized_official_last_name": "MUNDELL",
        "authorized_official_first_name": "MARYLEE",
        "authorized_official_title_or_position": "MANAGING PHYSICIAN",
        "authorized_official_telephone_number": "215-885-8700",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Olshefski Ott, DO
• Robert Craig Parks, OD
• Pascarella Eye Care & Contact Lenses, P.C.
• Nina Patel, PHARMACIST
• Pranay R. Patel, D,O.
• Pennsylvania CVS Pharmacy, L.L.C. (CVS Pharmacy # 00813)
• Suzanne L. Phillips, DPM
• Platinum Health at Richboro LLC (Richboro Rehabilitation & Nursing Center)
• Vinita Ponamgi, MD
• Lauren Pote, OD

• Pediatrics Physician in Richboro, PA
• Providers in Richboro, PA by specialty
• Pediatrics Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2020; 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.