Active NPI
NE Pediatrics, Inc
- Pediatrics Physician
- Scranton, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD009571E
- Legal business name
- NE PEDIATRICS, INC
- Practice address
- 440 N Main Ave
Scranton, PA 18504-1720 - Phone
- (570) 347-5605
- Fax
- (570) 489-4583
- NPI assigned
- Jan 25, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Vincent L Ross, MD
- Title
- Physician
- Phone
- (570) 347-5605
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD009571E | PA | Primary |
| Pediatrics Physician | 208000000X | MD063076L | PA |
Addresses
Primary practice location
440 N Main Ave
Scranton, PA 18504-1720
Mailing address
440 N Main Ave
Scranton, PA 18504-1720
Phone (570) 347-5605
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 361842 | Other | PA | BLUE SHIELD |
| 1007577660001 | Medicaid | PA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D2313281 | NE Pediatrics Inc Vincent Ross | Certificate of waiver | Oct 28, 2026 |
National Provider Directory
National Provider DirectoryLocations
440 N Main Ave
Scranton, PA 18504
Phone (570) 347-5605
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Scranton, PA
- NPI 1104935808
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201219200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1201219200000",
"number": "1316124902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440 N MAIN AVE",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185041720",
"telephone_number": "570-347-5605",
"fax_number": "570-489-4583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "440 N MAIN AVE",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185041720",
"telephone_number": "570-347-5605",
"fax_number": "570-489-4583"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NE PEDIATRICS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-25",
"last_updated": "2008-01-25",
"status": "A",
"authorized_official_last_name": "ROSS",
"authorized_official_first_name": "VINCENT",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "570-347-5605",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "PA",
"license": "MD009571E",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "PA",
"license": "MD063076L",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "361842",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007577660001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Scranton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2008; 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.