White Oak Pediatrics Dr Battiata & Impeduglia PA
Organization Active NPI Pediatrics Physician · Pasadena, MD
NPI 1063482610 · NPPES record last updated Oct 29, 2025
Key facts
- NPI
- 1063482610
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatrics Physician 208000000X
- Legal business name
- WHITE OAK PEDIATRICS DR BATTIATA & IMPEDUGLIA PA
- Practice address
- 3100 Mountain Rd
Suite E
Pasadena, MD 21122 - Phone
- (410) 360-4446
- Fax
- (410) 360-4449
- NPI assigned
- Jan 25, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- WHITE OAK PEDIATRICS DRS BATTIATA & IMPEDUGLIA PA
Authorized official
- Name
- Dr. Cynthia Niemeyer Schaeffer, MD
- Title
- Medical Director Pediatric Place Un
- Phone
- (410) 360-4446
Parent organization (reported in NPPES) 1
Corporate family (same tax ID) 9
Practitioners 13
-
Meghan Begley, CRNP
-
Elizabeth Anna Disanti, CRNP
-
Deborah Marie Gage, M.D.
-
Samantha Lorraine Kirk Jefferson, CPNP-PC
-
Erin Colleen Lytle, CRNP
-
Obianuju Geraldine Nwoga, M.D.
-
Gwynedd Morgwyn Reece, CRNP
-
Norae Shanell Woodard, CPNP-PC
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D0932358 | Pediatric Place | Certificate of waiver | Aug 18, 2027 |
National Provider Directory
- Tax ID family
- White Oak Pediatrics DRS Battiata Impeduglia PA
- Part of
- White Oak Pediatrics DRS Battiata Impeduglia PA
Locations
18310 Montgomery Village Ave
Ste 460
Gaithersburg, MD 20879
Phone (301) 977-4100
Interoperability endpoints
- https://api.platform.athenahealth.com/6914/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician |
208000000X | Yes | ||
| Primary Care Nurse Practitioner |
363LP2300X |
Addresses
Primary practice location
3100 Mountain Rd
Suite E
Pasadena, MD 21122
Mailing address
11161 New Hampshire Ave
Suite 301
Silver Spring, MD 20904
Phone (410) 360-4446
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 111071300 | Medicaid | MD | |
| 952601300 | Medicaid | MD | |
| 880008100 | Medicaid | MD | |
| 907009500 | Medicaid | MD | |
| 88056600 | Medicaid | MD | |
| 670038100 | Medicaid | MD | |
| 763500100 | Medicaid | MD |
Other names
- DBA Pediatric Place
- Pediatric Place
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All providers in Pasadena, MD · Pediatrics Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.