Peekaboo Pediatrics

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

PEEKABOO PEDIATRICS

Practice address

821 N 2ND St
Philadelphia, PA 19123-3009

Phone

(267) 702-3850

NPI assigned

Jan 12, 2016

Last updated

Jan 12, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Katrina PobleteNPI 1497908511

Title

Owner

Phone

(267) 702-3850

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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.

• Katrina Papa Poblete, MD

  • Pediatrics Physician
  • Philadelphia, PA
  • NPI 1497908511
  NPD (past) Authorized official

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

{
    "created_epoch": "1452556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452556800000",
    "number": "1396101911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 N 2ND ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191233009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 N 2ND ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191233009",
            "telephone_number": "267-702-3850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEEKABOO PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-12",
        "last_updated": "2016-01-12",
        "status": "A",
        "authorized_official_last_name": "POBLETE",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-702-3850"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony M Pedicino, DDS
• Terrence J Pedrotty, C.R.N.A.
• Mauricio A Pedroza, MD
• Rebecka Peebles, MD
• Alexis Rachel Peedin, MD
• Peekas Place Inc.
• Catherine Peel, PA-C
• Kenneth Peeples
• Meeta Devendra Peer, M.D.
• Alisa Peet, MD

• Primary Care Clinic/Center in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Primary Care Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2016; 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.

Verify at the official NPI Registry.