Active NPI
Lancaster Pediatrics, PA
- Pediatrics Physician
- Ellicott City, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- D0054201
- Legal business name
- LANCASTER PEDIATRICS, PA
- Practice address
- 2850 N Ridge Rd
Suite 102
Ellicott City, MD 21043-3464 - Phone
- (410) 480-2803
- Fax
- (410) 480-2806
- NPI assigned
- Sep 24, 2008
- Last updated
- Oct 5, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Duniya Rebecca Lancaster, M.D
- Title
- Owner
- Phone
- (410) 480-2803
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | D0054201 | MD | Primary |
Addresses
Primary practice location
2850 N Ridge Rd
Suite 102
Ellicott City, MD 21043-3464
Mailing address
2850 N Ridge Rd
Suite 102
Ellicott City, MD 21043-3464
Phone (410) 480-2803
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 404110100 | Medicaid | MD |
National Provider Directory
National Provider DirectoryLocations
2850 North Ridge Rd
Ste 102
Ellicott City, MD 21043
Phone (410) 418-8550
2850 North Ridge Rd
Ste 203
Ellicott City, MD 21043
Phone (410) 480-2803
Practitioners & affiliated clinicians
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.
-
- Pediatrics Physician
- Ellicott City, MD
- NPI 1124097860
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222214400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1286236800000",
"number": "1568612760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2850 N RIDGE RD",
"address_2": "SUITE 102",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210433464",
"telephone_number": "410-480-2803",
"fax_number": "410-480-2806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2850 N RIDGE RD",
"address_2": "SUITE 102",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210433464",
"telephone_number": "410-480-2803",
"fax_number": "410-480-2806"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LANCASTER PEDIATRICS, PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-24",
"last_updated": "2010-10-05",
"status": "A",
"authorized_official_last_name": "LANCASTER",
"authorized_official_first_name": "DUNIYA",
"authorized_official_middle_name": "REBECCA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "410-480-2803",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MD",
"license": "D0054201",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "404110100",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ellicott City, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.