Organization Active NPI

White Oak Pediatrics, DRS. Battiata & Impeduglia, P.a.

Doing business as Pediatric & Adolescent Care, P.A.

  • Pediatrics Physician
  • Gaithersburg, MD
National Provider Identifier
1194722306
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D003342 Issued in MD
Legal business name
WHITE OAK PEDIATRICS, DRS. BATTIATA & IMPEDUGLIA, P.A.
Doing business as
Pediatric & Adolescent Care, P.A.
Practice address
903 Russell Ave
Ste 301
Gaithersburg, MD 20879-3257
Phone
(301) 869-2292
Fax
(877) 673-1105
NPI assigned
Jul 1, 2005
Last updated
Jun 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Authorized official

Name
Hannah Cohen
Title
Ceo
Phone
(720) 635-0992

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X D003342 MD Primary

Addresses

Primary practice location

903 Russell Ave
Ste 301
Gaithersburg, MD 20879-3257

Mailing address

903 Russell Ave
Ste 301
Gaithersburg, MD 20879-3257
Phone (301) 869-2292

Other names 1

  • Pediatric & Adolescent Care, P.A. Doing business as

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
21D0212960White Oak Pediatrics903 Russell Avenue Suite 301, Gaithersburg, MD 20879Certificate of waiverDec 16, 2026

National Provider Directory

National Provider Directory
Tax ID family
White Oak Pediatrics Dr Battiata Impeduglia PA10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

930 Russell Ave
Gaithersburg, MD 20879

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750809600000",
    "number": "1194722306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 RUSSELL AVE",
            "address_2": "STE 301",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208793257",
            "telephone_number": "301-869-2292",
            "fax_number": "877-673-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 RUSSELL AVE",
            "address_2": "STE 301",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208793257",
            "telephone_number": "301-869-2292",
            "fax_number": "877-673-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE OAK PEDIATRICS, DRS. BATTIATA & IMPEDUGLIA, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-01",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "720-635-0992"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D003342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric & Adolescent Care, P.A.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; 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.