Active NPI
Allison Dawn Otto, M.D.
- Pediatrics Physician
- Langhorne, PA
National Provider Identifier
1376576140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD421737
- Practice address
- 404 Middletown Blvd
Suite 306 Penns Square
Langhorne, PA 19047-1897 - Phone
- (215) 269-3330
- Fax
- (215) 269-3355
- NPI assigned
- Jul 7, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD421737 | PA | Primary |
Addresses
Primary practice location
404 Middletown Blvd
Suite 306 Penns Square
Langhorne, PA 19047-1897
Mailing address
404 Middletown Blvd
Suite 306 Penns Square
Langhorne, PA 19047-1897
Phone (215) 269-3330
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1014516710001 | Medicaid | PA | |
| 233044033 | Other | PA | TAX ID |
| 1113353 | Other | PA | USHC |
| K7691 | Other | PA | HORIZON |
| 0001467413 | Other | PA | BLUE SHIELD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | aotto@wecarepeds.opdirect.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623974400000",
"number": "1376576140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 MIDDLETOWN BLVD",
"address_2": "SUITE 306 PENNS SQUARE",
"city": "LANGHORNE",
"state": "PA",
"postal_code": "190471897",
"telephone_number": "215-269-3330",
"fax_number": "215-269-3355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 MIDDLETOWN BLVD",
"address_2": "SUITE 306 PENNS SQUARE",
"city": "LANGHORNE",
"state": "PA",
"postal_code": "190471897",
"telephone_number": "215-269-3330",
"fax_number": "215-269-3355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTTO",
"first_name": "ALLISON",
"middle_name": "DAWN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-07",
"last_updated": "2021-06-18",
"certification_date": "2021-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD421737",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1014516710001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "233044033",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "USHC",
"identifier": "1113353",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON",
"identifier": "K7691",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "0001467413",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "aotto@wecarepeds.opdirect.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "404 Middletown Blvd",
"address_2": "Suite 306 Penns Square",
"city": "Langhorne",
"state": "PA",
"country_code": "US",
"postal_code": "190471897",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Langhorne, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.