Active NPI
Takoma Park Pediatrics, PA
- Pediatrics Physician
- Frederick, MD
National Provider Identifier
1093637720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- TAKOMA PARK PEDIATRICS, PA
- Practice address
- 75 Thomas Johnson Dr Ste D
Frederick, MD 21702-4895 - Phone
- (301) 891-6141
- NPI assigned
- Jul 27, 2026
- 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
- Lavanya Sithanandam, MD
- Title
- Medical Director
- Phone
- (301) 891-6141
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
75 Thomas Johnson Dr Ste D
Frederick, MD 21702-4895
Mailing address
7610 Carroll Ave Ste 400
Takoma Park, MD 20912-6321
Phone (301) 891-6141
National Provider Directory
National Provider Directory- Tax ID family
- Park Pediatrics
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Primary Care Clinic/Center
- Takoma Park, MD
- NPI 1144695529
-
- Pediatrics Physician
- Takoma Park, MD
- NPI 1285853135
-
- Pediatrics Physician
- Gaithersburg, MD
- NPI 1538979117
-
- Pediatrics Physician
- Greenbelt, MD
- NPI 1710797303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785110400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787616000000",
"number": "1093637720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7610 CARROLL AVE STE 400",
"city": "TAKOMA PARK",
"state": "MD",
"postal_code": "209126321",
"telephone_number": "301-891-6141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 THOMAS JOHNSON DR STE D",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217024895",
"telephone_number": "301-891-6141"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TAKOMA PARK PEDIATRICS, PA",
"organizational_subpart": "NO",
"enumeration_date": "2026-07-27",
"last_updated": "2026-08-25",
"certification_date": "2026-08-25",
"status": "A",
"authorized_official_last_name": "SITHANANDAM",
"authorized_official_first_name": "LAVANYA",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "301-891-6141",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.