Organization Active NPI

Peds World Associates Corp

  • Pediatrics Physician
  • Baltimore, MD
National Provider Identifier
1467025379
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
PEDS WORLD ASSOCIATES CORP
Practice address
3449 Wilkens Ave Ste 308
Baltimore, MD 21229-5218
Phone
(410) 646-1200
Fax
(410) 646-1211
NPI assigned
Jul 19, 2021
Last updated
Jul 19, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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

Authorized official

Name
Dora Cecilia Rioja-Mazza, MDNPI 1154575157
Title
Owner/Provider
Phone
(202) 378-4100

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

3449 Wilkens Ave Ste 308
Baltimore, MD 21229-5218

Mailing address

3449 Wilkens Ave Ste 308
Baltimore, MD 21229-5218
Phone (410) 646-1200

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D0219222Peds World Associates Corp3449 Wilkens Avenue Suite 308, Baltimore, MD 21229Certificate of waiverMay 31, 2028

National Provider Directory

National Provider Directory

Locations

3449 Wilkens Ave
Ste 308
Baltimore, MD 21229
Phone (410) 644-7544

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626652800000",
    "number": "1467025379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3449 WILKENS AVE STE 308",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212295218",
            "telephone_number": "410-646-1200",
            "fax_number": "410-646-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3449 WILKENS AVE STE 308",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212295218",
            "telephone_number": "410-646-1200",
            "fax_number": "410-646-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDS WORLD ASSOCIATES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-19",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A",
        "authorized_official_last_name": "RIOJA-MAZZA",
        "authorized_official_first_name": "DORA",
        "authorized_official_middle_name": "CECILIA",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "202-378-4100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; 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.