Individual provider Active NPI

Allison Dawn Otto, M.D.

  • Pediatrics Physician
  • Langhorne, PA
National Provider Identifier
1376576140
Registry record updated Jun 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD421737 Issued in PA
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

Updated by the provider on Jun 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1014516710001MedicaidPA
233044033OtherPATAX ID
1113353OtherPAUSHC
K7691OtherPAHORIZON
0001467413OtherPABLUE SHIELD

Electronic endpoints 1

TypeEndpointUseAffiliation
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.

Verify at the official NPI Registry.