Pediatric Feeding Solutions, LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

PEDIATRIC FEEDING SOLUTIONS, LLC

Practice address

17414 Nick Dr
Macomb, MI 48044-1669

Phone

(586) 216-5240

NPI assigned

Oct 15, 2024

Organization subpart

No

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

Authorized official

Name

Marco Coletta

Title

Owner

Phone

(586) 216-5240

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1728950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728950400000",
    "number": "1508686361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17414 NICK DR",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480441669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17414 NICK DR",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480441669",
            "telephone_number": "586-216-5240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC FEEDING SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-15",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A",
        "authorized_official_last_name": "COLETTA",
        "authorized_official_first_name": "MARCO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-216-5240"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vijaykumar G Patel, RPH
• Anna Maria Paterra-Murphy, CPHT
• Steven Pavloski
• Alaina Susan Pawlowski
• Monika Maria Peddycord, M.P.T.
• Justin John Peklo
• Kelly Anne Penn, PT, DPT
• Perceptions Therapy L.L.C.
• Bogdan Peres
• David Alan Perkins, LMSW

• Multi-Specialty Clinic/Center in Macomb, MI
• Providers in Macomb, MI by specialty
• Multi-Specialty Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.