Active NPI
Kids Care Pediatrics, Inc
- Pediatrics Physician
- New Alexandria, PA
National Provider Identifier
1710220751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD055990L
- 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, INC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1010913070001 | Medicaid | PA |
Other names 1
- Kids Care Pediatrics, Inc, New Alexandria Office (2nd Locat
National Provider Directory
National Provider Directory- Tax ID family
- Kids Care Pediatrics Inc
- 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.
-
- Pediatrics Physician
- Latrobe, PA
- NPI 1164641692
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.