Innovative Pediatrics & Medicine

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

INNOVATIVE PEDIATRICS & MEDICINE

Practice address

3921 Ferrara Dr
Silver Spring, MD 20906

Phone

(301) 337-8846

Fax

(301) 946-0642

NPI assigned

Nov 4, 2020

Organization subpart

No

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

Authorized official

Name

Gifty Afeta, MDNPI 1578732665

Title

Clinican

Phone

(301) 337-8846

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Gifty Afeta, M.D.

  • Pediatrics Physician
  • Silver Spring, MD
  • NPI 1578732665
  NPD Authorized official

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

{
    "created_epoch": "1604448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604448000000",
    "number": "1568063758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3921 FERRARA DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "20906",
            "telephone_number": "301-337-8846",
            "fax_number": "301-946-0642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3921 FERRARA DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "20906",
            "telephone_number": "301-337-8846",
            "fax_number": "301-946-0642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE PEDIATRICS & MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-04",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A",
        "authorized_official_last_name": "AFETA",
        "authorized_official_first_name": "GIFTY",
        "authorized_official_title_or_position": "CLINICAN",
        "authorized_official_telephone_number": "301-337-8846",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2080B0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kindra J Ingram, D.C.
• Shenetta Inmon, MSW
• Inner Peace Inspirations, LLC
• Innovative Life of Maryland
• Innovative MWLM LLC
• Innovative Physical Therapy and Fitness Centers, LLC
• Innovative Psychiatric Associates LLC
• Inova Health Care Services
• Ziva Helene Inslicht, D.M.D.
• Inspirational Mental Health LLC

• Pediatrics Physician in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Pediatrics Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; 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.