Agnieszka Gradzka, MD
Individual provider Active NPI Pediatrics Physician · Enola, PA
NPI 1689666554 · NPPES record last updated Mar 17, 2025
Key facts
- NPI
- 1689666554
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- MD419823 (PA)
- Practice address
- 1824 Good Hope Road
Suite 201
Enola, PA 17025-1233 - Phone
- (717) 791-2680
- NPI assigned
- Aug 17, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD419823 | PA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JDC Pediatrics | Pediatrics | Current |
Accepting new patients |
| Pediatric Acute Care Services | Pediatrics | Past | Accepting new patients |
Locations
25 W Shore Dr
Camp Hill, PA 17011
Phone (717) 791-2680
1824 Good Hope Rd
#201
Enola, PA 17025
Phone (717) 791-2680
2025 Technology Pkwy
Ste 108
Mechanicsburg, PA 17050
Phone (717) 230-3026
Interoperability endpoints
- agradzka@jdcpediatrics.medentdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD419823 | PA | Yes |
Addresses
Primary practice location
1824 Good Hope Road
Suite 201
Enola, PA 17025-1233
Mailing address
1824 Good Hope Road
Suite 201
Enola, PA 17025-1233
Phone (717) 791-2680
Other practice location 1
25 W Shore Dr
Camp Hill, PA 17011-7718
Phone (717) 791-2680
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1008247330002 | Medicaid | PA |
Other providers in Enola, PA
- Kendall Rianne Geib
- Lynn Ann Gerlach
- Carla Ghannam
- Caroline Gindhart
- Good Hope Family Physicians
- Christina M Griffith
- Ellen Guido
- Edna Haase
- Happy Life Home Care
- Elias Gerald Harkins
All providers in Enola, PA · Pediatrics Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.