Metropolitan Pediatrics, LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

D0053243 Issued in MD

Legal business name

METROPOLITAN PEDIATRICS, LLC

Practice address

11125 Rockville Pike
Suite 209
N Bethesda, MD 20852-3142

Phone

(301) 230-2280

Fax

(301) 230-2245

NPI assigned

Sep 28, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Dawn S Swanson

Title

Practice Administrator

Phone

(301) 230-2280

Specialties & licenses 1

Addresses

Other identifiers 12

Practitioners 1

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

• Giorgio V. P. Kulp, MD

  • Pediatrics Physician
  • N Bethesda, MD
  • NPI 1952305872
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295827293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11125 ROCKVILLE PIKE",
            "address_2": "SUITE 209",
            "city": "N BETHESDA",
            "state": "MD",
            "postal_code": "208523142",
            "telephone_number": "301-230-2280",
            "fax_number": "301-230-2245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11125 ROCKVILLE PIKE",
            "address_2": "SUITE 209",
            "city": "N BETHESDA",
            "state": "MD",
            "postal_code": "208523142",
            "telephone_number": "301-230-2280",
            "fax_number": "301-230-2245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITAN PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SWANSON",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "301-230-2280",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0053243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "9418214",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "J575 0002",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MD",
            "identifier": "601 AME",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI DR KULP",
            "identifier": "1952305872",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6513183",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "9892352",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7234782",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI DR KUSKOWSKI",
            "identifier": "1326026659",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7925383",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "J575 0001",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1183339",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "2112424",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jong Min Kim, DMD
• Giorgio V. P. Kulp, MD
• Livewell, LLC
• Kristie Nicole Marquis, MD
• Candace A McCullough, PHD, LCPC, ACS, DCC
• Eileen Mood, CPNP
• Nicole Filipe Psychotherapy
• Joy Paul, LCSW-C
• Lauren Michelle Polovoy, CCC-SLP
• Ronald Prussick, M.D.

• Pediatrics Physician in N Bethesda, MD
• Providers in N Bethesda, MD by specialty
• Pediatrics Physician in Maryland

• 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.