Organization Active NPI

Childrens Endocrine & Diabetes Care Inc

  • Pediatric Endocrinology Physician
  • Wellington, FL
National Provider Identifier
1053558460
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X
Legal business name
CHILDRENS ENDOCRINE & DIABETES CARE INC
Practice address
1447 Medical Park Blvd
Ste 104
Wellington, FL 33414
Phone
(561) 792-1525
Fax
(561) 792-1521
NPI assigned
Jan 8, 2009
Last updated
Sep 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Authorized official

Name
Middey Damian, MDNPI 1013938422
Title
Physician
Phone
(561) 792-1525

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Endocrinology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080P0205X Primary

Addresses

Primary practice location

1447 Medical Park Blvd
Ste 104
Wellington, FL 33414

Mailing address

1447 Medical Park Blvd
Ste 104
Wellington, FL 33414
Phone (561) 792-1525

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
10D2018936Childrens Endocrine & Diabetes Care Inc1447 Medical Park Blvd Ste 104, Wellington, FL 33414Certificate of waiverJan 18, 2027

National Provider Directory

National Provider Directory

Locations

1447 Medical Park Blvd
Ste 104
Wellington, FL 33414
Phone (561) 792-1525

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1231372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727308800000",
    "number": "1053558460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1447 MEDICAL PARK BLVD",
            "address_2": "STE 104",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "33414",
            "telephone_number": "561-792-1525",
            "fax_number": "561-792-1521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1447 MEDICAL PARK BLVD",
            "address_2": "STE 104",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "33414",
            "telephone_number": "561-792-1525",
            "fax_number": "561-792-1521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS ENDOCRINE & DIABETES CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-08",
        "last_updated": "2024-09-26",
        "status": "A",
        "authorized_official_last_name": "DAMIAN",
        "authorized_official_first_name": "MIDDEY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "561-792-1525",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; 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.