NPIMap

Organization Active NPI

Cambridge Pediatrics, LLC

  • Pediatrics Physician
  • Waldorf, MD
National Provider Identifier
1154462943
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D0043633 Issued in MD
Legal business name
CAMBRIDGE PEDIATRICS, LLC
Practice address
3500 Old Washington Rd
Suite 101
Waldorf, MD 20602-3224
Phone
(301) 645-1133
Fax
(301) 645-2369
NPI assigned
Feb 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Dianna E Abney, M.D.NPI 1801885090
Title
Managing Partner
Phone
(301) 645-1133

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
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X D0043633 MD Primary

Addresses

Primary practice location

3500 Old Washington Rd
Suite 101
Waldorf, MD 20602-3224

Mailing address

3500 Old Washington Rd
Suite 101
Waldorf, MD 20602-3224
Phone (301) 645-1133

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
21D0968631Cambridge Pediatrics LLC3500 Old Washington Road #101, Waldorf, MD 20602Provider-performed microscopyDec 16, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154462943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 OLD WASHINGTON RD",
            "address_2": "SUITE 101",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206023224",
            "telephone_number": "301-645-1133",
            "fax_number": "301-645-2369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 OLD WASHINGTON RD",
            "address_2": "SUITE 101",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206023224",
            "telephone_number": "301-645-1133",
            "fax_number": "301-645-2369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMBRIDGE PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ABNEY",
        "authorized_official_first_name": "DIANNA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "301-645-1133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0043633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

  • 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.
  • 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.