Organization Active NPI

Kids Care Pediatrics, Inc

  • Pediatrics Physician
  • New Alexandria, PA
National Provider Identifier
1710220751
Registry record updated Mar 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD055990L Issued in PA
Legal business name
KIDS CARE PEDIATRICS, INC
Practice address
8279 State Road 22
Suite 2
New Alexandria, PA 15670
Phone
(724) 668-5023
NPI assigned
Mar 28, 2013
Organization subpart
Yes
Parent organization
KIDS CARE PEDIATRICS, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 28, 2013

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

Authorized official

Name
Christine C Florendo, M.D.
Title
Owner
Phone
(724) 537-2131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X MD055990L PA Primary

Addresses

Primary practice location

8279 State Road 22
Suite 2
New Alexandria, PA 15670

Mailing address

8279 State Route 22
Suite 2
New Alexandria, PA 15670
Phone (724) 668-5023

Other identifiers 1

IdentifierTypeStateIssuer
1010913070001MedicaidPA

Other names 1

  • Kids Care Pediatrics, Inc, New Alexandria Office (2nd Locat Other name

National Provider Directory

National Provider Directory
Tax ID family
Kids Care Pediatrics Inc2 organizations share this tax ID, including this one
Part of
Kids Care Pediatrics Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8279 State Route 22
Ste 2
New Alexandria, PA 15670
Phone (724) 668-5023

NPI Registry JSON

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

{
    "created_epoch": "1364428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364428800000",
    "number": "1710220751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8279 STATE ROUTE 22",
            "address_2": "SUITE 2",
            "city": "NEW ALEXANDRIA",
            "state": "PA",
            "postal_code": "15670",
            "telephone_number": "724-668-5023",
            "fax_number": "724-668-5075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8279 STATE ROAD 22",
            "address_2": "SUITE 2",
            "city": "NEW ALEXANDRIA",
            "state": "PA",
            "postal_code": "15670",
            "telephone_number": "724-668-5023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS CARE PEDIATRICS, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KIDS CARE PEDIATRICS, INC",
        "enumeration_date": "2013-03-28",
        "last_updated": "2013-03-28",
        "status": "A",
        "authorized_official_last_name": "FLORENDO",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-537-2131",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD055990L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1010913070001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kids Care Pediatrics, Inc, New Alexandria Office (2nd Locat",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New Alexandria, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2013; 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.