NPIMap

White Oak Pediatrics DRS Battiata & Impeduglia PA

Organization Active NPI Pediatrics Physician · Gaithersburg, MD

NPI 1497564009 · NPPES record last updated Jan 7, 2025

Key facts

NPI
1497564009
Entity type
Organization (NPI type 2)
Primary specialty
Pediatrics Physician 208000000X
Legal business name
WHITE OAK PEDIATRICS DRS BATTIATA & IMPEDUGLIA PA
Practice address
18310 Montgomery Village Ave Ste 460
Gaithersburg, MD 20879-3565
Phone
(301) 977-4100
Fax
(855) 885-1472
NPI assigned
Jan 7, 2025
Organization subpart
Yes
Parent organization (as reported)
WHITE OAK PEDIATRICS DRS BATTIATA & IMPEDUGLIA PA

Authorized official

Name
Giovanni Impeduglia, MD
Title
Medical Director
Phone
(301) 681-7101

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Corporate family (same tax ID) 9

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2232888White Oak Pediatrics
18310 Montgomery Village Ave #460, Gaithersburg, MD 20879		Certificate of waiverAug 17, 2027

National Provider Directory

Tax ID family
White Oak Pediatrics DRS Battiata Impeduglia PA (10 organizations share this tax ID)
Part of
White Oak Pediatrics DRS Battiata Impeduglia PA

Locations

11717 Old National Pike
Ste 8
New Market, MD 21774
Phone (301) 381-4586

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 208000000X Yes

Addresses

Primary practice location

18310 Montgomery Village Ave Ste 460
Gaithersburg, MD 20879-3565

Mailing address

11161 New Hampshire Ave Ste 301
Silver Spring, MD 20904-2606
Phone (301) 681-7101

Other providers in Gaithersburg, MD

All providers in Gaithersburg, MD · Pediatrics Physician in Maryland

Sources for this page

Verify at the official NPI Registry.