Moorestown Pediatrics, LLP

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

25MA04812299 Issued in NJ

Legal business name

MOORESTOWN PEDIATRICS, LLP

Practice address

703 E Main Street
Moorestown, NJ 08057-3082

Phone

(856) 235-0264

Fax

(856) 235-4635

NPI assigned

Jun 26, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Andres Tiangco Guevarra, M.D.

Title

Owner

Phone

(856) 235-0264

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dawn Newman

  • Nurse Practitioner
  • Moorestown, NJ
  • NPI 1881233930
  NPD (past)

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104853100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 E MAIN STREET",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573082",
            "telephone_number": "856-235-0264",
            "fax_number": "856-235-4635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 E MAIN STREET",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573082",
            "telephone_number": "856-235-0264",
            "fax_number": "856-235-4635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORESTOWN PEDIATRICS, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GUEVARRA",
        "authorized_official_first_name": "ANDRES",
        "authorized_official_middle_name": "TIANGCO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-235-0264",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NJ",
            "license": "25MA04812299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Moorestown Family Practice, P.C.
• Moorestown First Aid and Emergency Squad, Inc.
• Moorestown Integrative Wellness Inc.
• Moorestown Internal Medicine, P.C.
• Moorestown Operator LLC
• Moorestown Primary Care
• Moorestown Smile Center LLC
• Moorestown Township Public Schools
• Moorestown Visiting Nurse Association
• Moorestown Visiting Nurse Association Inc

• Primary Care Clinic/Center in Moorestown, NJ
• Providers in Moorestown, NJ by specialty
• Primary Care Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.