NPIMap

Organization Active NPI

White Oak Pediatrics DRS Battiata & Impeduglia PA

Doing business as Fred Co Behavioral Health

  • Pediatrics Physician
  • New Market, MD
National Provider Identifier
1225335441
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D0033531 Issued in MD
Legal business name
WHITE OAK PEDIATRICS DRS BATTIATA & IMPEDUGLIA PA
Doing business as
Fred Co Behavioral Health
Practice address
11717 Old National Pike
Suite #8
New Market, MD 21774-6154
Phone
(301) 363-4663
Fax
(240) 782-1566
NPI assigned
Feb 24, 2011
Last updated
Apr 10, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
WHITE OAK PEDIATRICS DRS BATTIATA & IMPEDUGLIA PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Authorized official

Name
Giovanni Impeduglia, MDNPI 1235197948
Title
Medical Director
Phone
(301) 681-7101

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X D0033531 MD Primary

Addresses

Primary practice location

11717 Old National Pike
Suite #8
New Market, MD 21774-6154

Mailing address

11717 Old National Pike
Suite #8
New Market, MD 21774-6154
Phone (301) 882-7489

Other names 1

  • Fred Co Behavioral Health Doing business as

National Provider Directory

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

Other organizations with this tax ID 9

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

Locations

11717 Old National Pike
New Market, MD 21774
Phone (301) 865-5920

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 7

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": "1298505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744243200000",
    "number": "1225335441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11717 OLD NATIONAL PIKE",
            "address_2": "SUITE #8",
            "city": "NEW MARKET",
            "state": "MD",
            "postal_code": "217746154",
            "telephone_number": "301-882-7489",
            "fax_number": "301-882-7520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11717 OLD NATIONAL PIKE",
            "address_2": "SUITE #8",
            "city": "NEW MARKET",
            "state": "MD",
            "postal_code": "217746154",
            "telephone_number": "301-363-4663",
            "fax_number": "240-782-1566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE OAK PEDIATRICS DRS BATTIATA & IMPEDUGLIA PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WHITE OAK PEDIATRICS DRS BATTIATA & IMPEDUGLIA PA",
        "enumeration_date": "2011-02-24",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A",
        "authorized_official_last_name": "IMPEDUGLIA",
        "authorized_official_first_name": "GIOVANNI",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "301-681-7101",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0033531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fred Co Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Market, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; 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.