425 Cedarcrest Road Operating Company, LP

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

License

136710 Issued in PA

Legal business name

425 CEDARCREST ROAD OPERATING COMPANY, LP

Doing business as

Pediatric Specialty Care at Quakertown

Practice address

425 Cedar Crest Dr
Quakertown, PA 18951-1620

Phone

(215) 804-0736

NPI assigned

Feb 11, 2011

Last updated

Sep 23, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kimberly Kenworthy

Title

Sr. Director Revenue Cycle MGMT

Phone

(716) 361-6636

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pediatric Specialty Care at Quakertown Doing business as

Locations

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

{
    "created_epoch": "1297382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727049600000",
    "number": "1699072553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 SENECA ST STE 100",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142041963",
            "telephone_number": "716-361-6636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 CEDAR CREST DR",
            "city": "QUAKERTOWN",
            "state": "PA",
            "postal_code": "189511620",
            "telephone_number": "215-804-0736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "425 CEDARCREST ROAD OPERATING COMPANY, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-11",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A",
        "authorized_official_last_name": "KENWORTHY",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "SR. DIRECTOR REVENUE CYCLE MGMT",
        "authorized_official_telephone_number": "716-361-6636"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "PA",
            "license": "136710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENNSYLVANIA DEPARTMENT OF PUBLIC WELFARE",
            "identifier": "136710",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Specialty Care at Quakertown",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Nursing Care Agency in Quakertown, PA
• Providers in Quakertown, PA by specialty
• Nursing Care Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.