STC Pediatrics LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

STC PEDIATRICS LLC

Doing business as

St. Christopher's Pediatric Associates Optometry - Sewell

Practice address

100 Kings Way E Ste C
Sewell, NJ 08080-2238

Phone

(856) 582-0644

NPI assigned

Dec 19, 2019

Last updated

Jan 8, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gary Conner

Title

Cfo

Phone

(484) 628-8181

Specialties & licenses 1

Addresses

Other names 1

• St. Christopher's Pediatric Associates Optometry - Sewell Doing business as

Tax ID family

St Christopher's Hospital for Children- Dental123 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 13

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• STC Pediatrics LLC

  dba St. Christopher's Pediatric Associates Otolaryngology - Sewell

  • Pediatric Otolaryngology Physician
  • Sewell, NJ
  • NPI 1063056208
  NPD tax ID
• STC Pediatrics LLC

  dba St. Christopher's Pediatric Associates Plastic Surgery - Sewell

  • Plastic Surgery Physician
  • Sewell, NJ
  • NPI 1194369504
  NPD tax ID
• STC Pediatrics LLC

  dba St. Christopher's Pediatric Associates General Surgery - Sewell

  • Pediatric Surgery Physician
  • Sewell, NJ
  • NPI 1417591645
  NPD tax ID
• STC Pediatrics LLC

  dba St. Christopher's Pediatric Associates Pulmonary - Sewell

  • Pediatric Pulmonology Physician
  • Sewell, NJ
  • NPI 1427692821
  NPD tax ID
• STC Pediatrics LLC

  dba St. Christopher's Pediatric Associates Neurology - Sewell

  • Neurology with Special Qualifications in Child Neurology Physician
  • Sewell, NJ
  • NPI 1548804909
  NPD tax ID
• STC Pediatrics LLC

  dba St. Christopher's Pediatric Associates Ophthalmology - Sewell

  • Pediatric Ophthalmology and Strabismus Specialist Physician
  • Sewell, NJ
  • NPI 1568006799
  NPD tax ID
• STC Pediatrics LLC

  dba St Christopher's Pediatric Associates Wash Pulmonary

  • Pediatric Pulmonology Physician
  • Sewell, NJ
  • NPI 1598303133
  NPD tax ID
• STC Pediatrics LLC

  dba St. Christopher's Pediatric Associates Orthopedics - Sewell

  • Pediatric Orthopaedic Surgery Physician
  • Sewell, NJ
  • NPI 1619511078
  NPD tax ID
• STC Pediatrics LLC

  dba St. Christophers Pediatric Associates Rheumatology - Sewell

  • Pediatric Rheumatology Physician
  • Sewell, NJ
  • NPI 1659916138
  NPD tax ID
• STC Pediatrics LLC

  dba St. Christopher's Pediatric Associates Gastroenterology - Sewell

  • Pediatric Gastroenterology Physician
  • Sewell, NJ
  • NPI 1730723248
  NPD tax ID
• STC Pediatrics LLC

  dba St. Christopher's Pediatric Associates Nephrology - Sewell

  • Pediatric Nephrology Physician
  • Sewell, NJ
  • NPI 1740825215
  NPD tax ID
• STC Pediatrics LLC

  dba St. Christopher's Pediatric Associates Cardiology- Sewell

  • Pediatric Cardiology Physician
  • Sewell, NJ
  • NPI 1801430202
  NPD tax ID

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

{
    "created_epoch": "1576713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578441600000",
    "number": "1194363291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13579",
            "city": "READING",
            "state": "PA",
            "postal_code": "196123579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 KINGS WAY E STE C",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802238",
            "telephone_number": "856-582-0644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STC PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-19",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A",
        "authorized_official_last_name": "CONNER",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "484-628-8181"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Christopher's Pediatric Associates Optometry - Sewell",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jordan Spusta, DO
• Rashmi Srivastava, DDS
• Steven Starr
• Peter Statue, PHTC
• STC Pediatrics LLC (St. Christopher's Pediatric Associates Otolaryngology - Sewell)
• STC Pediatrics LLC (St. Christopher's Pediatric Associates Plastic Surgery - Sewell)
• STC Pediatrics LLC (St. Christopher's Pediatric Associates General Surgery - Sewell)
• STC Pediatrics LLC (St. Christopher's Pediatric Associates Pulmonary - Sewell)
• STC Pediatrics LLC (St. Christopher's Pediatric Associates Neurology - Sewell)
• STC Pediatrics LLC (St. Christopher's Pediatric Associates Ophthalmology - Sewell)

• Optometrist in Sewell, NJ
• Providers in Sewell, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.