Pediatric Associates, PA

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

1989014003 Issued in DE

Legal business name

PEDIATRIC ASSOCIATES, PA

Practice address

4735 Ogletown Stanton Rd
Map 2 Suite 1116
Newark, DE 19713-2072

Phone

(302) 368-8612

Fax

(302) 368-8836

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Melissa L Macolley

Title

Business Manager

Phone

(302) 368-8612

Specialties & licenses 1

Addresses

Other identifiers 4

Practitioners 1

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

• Neal Burton Cohn, MD

  • Pediatrics Physician
  • Newark, DE
  • NPI 1720190374
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164534731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4735 OGLETOWN STANTON RD",
            "address_2": "MAP 2 SUITE 1116",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132072",
            "telephone_number": "302-368-8612",
            "fax_number": "302-368-8836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4735 OGLETOWN STANTON RD",
            "address_2": "MAP 2 SUITE 1116",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132072",
            "telephone_number": "302-368-8612",
            "fax_number": "302-368-8836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MACOLLEY",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "302-368-8612",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "DE",
            "license": "1989014003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH GROUP",
            "identifier": "75682001",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA GROUP",
            "identifier": "78530",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC GROUP",
            "identifier": "0075682000",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC GROUP",
            "identifier": "0000079002",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aidan Peat
• Monica Tanisha Peay-Matthews, MS,LBS
• Richard Gerry Peck Jr., LACMH, NCC
• Christina Marie Pecorella, N.P.
• Christian K Pedersen
• Ellen Pekar
• Sarah Pellegrino, NP
• Jacqueline Pellenbarg, PA-C
• Michelle Dwan Pelton, C.N.M
• Susan Linda Peluso, PHP MD

• Pediatrics Physician in Newark, DE
• Providers in Newark, DE by specialty
• Pediatrics Physician in Delaware

• 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.