NPIMap

Organization Active NPI

Neighborhood Pediatrics, LLC

  • Primary Care Clinic/Center
  • Lakewood, OH
National Provider Identifier
1679724884
Registry record updated Dec 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
35057882 Issued in OH
Legal business name
NEIGHBORHOOD PEDIATRICS, LLC
Practice address
14701 Detroit Ave
Suite 250
Lakewood, OH 44107-4115
Phone
(216) 221-5901
Fax
(216) 221-5881
NPI assigned
Oct 7, 2008
Last updated
Dec 6, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2011

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

Authorized official

Name
Mrs. Pauline Helen Milovanovic
Title
Office Manager
Phone
(216) 221-5901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 35057882 OH Primary

Addresses

Primary practice location

14701 Detroit Ave
Suite 250
Lakewood, OH 44107-4115

Mailing address

14701 Detroit Ave
Suite 250
Lakewood, OH 44107-4115
Phone (216) 221-5901

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
36D0980245Neighborhood Pediatrics LLC14701 Detroit Avenue, Suite 250, Lakewood, OH 44107Certificate of waiverAug 20, 2027

National Provider Directory

National Provider Directory

Locations

14701 Detroit Ave
Ste 250
Lakewood, OH 44107
Phone (216) 221-5901

Practitioners & affiliated clinicians

Practitioners 8

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": "1223337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323129600000",
    "number": "1679724884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14701 DETROIT AVE",
            "address_2": "SUITE 250",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441074115",
            "telephone_number": "216-221-5901",
            "fax_number": "216-221-5881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14701 DETROIT AVE",
            "address_2": "SUITE 250",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441074115",
            "telephone_number": "216-221-5901",
            "fax_number": "216-221-5881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIGHBORHOOD PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-07",
        "last_updated": "2011-12-06",
        "status": "A",
        "authorized_official_last_name": "MILOVANOVIC",
        "authorized_official_first_name": "PAULINE",
        "authorized_official_middle_name": "HELEN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "216-221-5901",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OH",
            "license": "35057882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; 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.