Organization Active NPI

Silver Spring Pediatrics, LLC

  • Pediatrics Physician
  • Silver Spring, MD
National Provider Identifier
1760833917
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D0064348 Issued in MD
Legal business name
SILVER SPRING PEDIATRICS, LLC
Practice address
2301 Broadbirch Dr Ste 130
Silver Spring, MD 20904-1966
Phone
(301) 625-2800
Fax
(301) 625-9046
NPI assigned
Jun 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Authorized official

Name
Judy Wang, M.D.NPI 1902993801
Title
Pediatrician
Phone
(301) 625-2800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X D0064348 MD Primary

Addresses

Primary practice location

2301 Broadbirch Dr Ste 130
Silver Spring, MD 20904-1966

Mailing address

2301 Broadbirch Dr Ste 130
Silver Spring, MD 20904-1966
Phone (301) 625-2800

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
21D0709814Silver Spring Pediatrics2301 Broadbirch Dr Suite 130, Silver Spring, MD 20904Certificate of waiverMay 21, 2028

National Provider Directory

National Provider Directory

Locations

2301 Broadbirch Dr
#130
Silver Spring, MD 20904

2301 Broadbirch Dr
Ste 130
Silver Spring, MD 20904
Phone (301) 625-2800

2301 Broadbirch Dr
Silver Spring, MD 20904

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1467158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763078400000",
    "number": "1760833917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 BROADBIRCH DR STE 130",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209041966",
            "telephone_number": "301-625-2800",
            "fax_number": "301-625-9046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 BROADBIRCH DR STE 130",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209041966",
            "telephone_number": "301-625-2800",
            "fax_number": "301-625-9046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER SPRING PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-29",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "PEDIATRICIAN",
        "authorized_official_telephone_number": "301-625-2800",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0064348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; 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.