Pediatric Associates of Kingston, LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PEDIATRIC ASSOCIATES OF KINGSTON, LLC

Practice address

451 3Rd Ave Ste 1
Kingston, PA 18704-5802

Phone

(570) 288-6543

Fax

(570) 288-7130

NPI assigned

Aug 31, 2006

Last updated

Apr 21, 2021By 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

Jr Vought

Title

Practice Manager

Phone

(570) 288-6543

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffery R Kile, MD

  • Pediatrics Physician
  • Kingston, PA
  • NPI 1184690075
  NPD
• Alexa Lee Beretski, PA-C

  • Physician Assistant
  • Scranton, PA
  • NPI 1164590071
  NPD (past)
• Tara Briane Churilla, DO

  • Pediatrics Physician
  • Mount Pocono, PA
  • NPI 1588180921
  NPD (past)
• Alycia Marie Coar

  • Medical Physician Assistant
  • Kingston, PA
  • NPI 1689983272
  NPD (past)
• Geralyn Cross, DO

  • Pediatrics Physician
  • Kingston, PA
  • NPI 1174059224
  NPD (past)
• Joel Dorman

  • Physician Assistant
  • Falls, PA
  • NPI 1972046738
  NPD (past)
• Alexis Justine Falzone

  • Family Nurse Practitioner
  • Kingston, PA
  • NPI 1891291670
  NPD (past)
• Margaret Elizabeth Ferraro, CRNP

  • Family Nurse Practitioner
  • Clarks Summit, PA
  • NPI 1295698918
  NPD (past)
• Amy Louise Flaherty, PA-C

  • Medical Physician Assistant
  • Kingston, PA
  • NPI 1508297524
  NPD (past)
• Natalie Jean Gilboy, CRNP

  • Family Nurse Practitioner
  • Moosic, PA
  • NPI 1962878009
  NPD (past)
• Jill F McCoy, MD

  • Pediatrics Physician
  • Scranton, PA
  • NPI 1881662575
  NPD (past)
• Kellie Nicole Meehan

  • Family Nurse Practitioner
  • Kingston, PA
  • NPI 1346056926
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618963200000",
    "number": "1831201276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 3RD AVE",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045802",
            "telephone_number": "570-288-6543",
            "fax_number": "570-288-7130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 3RD AVE STE 1",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045802",
            "telephone_number": "570-288-6543",
            "fax_number": "570-288-7130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1081 Oak St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Pittston",
            "state": "PA",
            "postal_code": "186403716",
            "country_code": "US",
            "telephone_number": "570-602-7257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PEDIATRIC ASSOCIATES OF KINGSTON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A",
        "authorized_official_last_name": "VOUGHT",
        "authorized_official_first_name": "JR",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "570-288-6543"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patient Care Corporation (Patient Care Center)
• Krista Patla
• Debra A Pavlico, MS, NCC, LPC
• PD - Kingston LLC
• Ashley Pearce
• Lanny C Pelliccia, DPM
• Brian Anthony Pendolphi
• Pennsylvania CVS Pharmacy, L.L.C.
• Perl Enterprise
• Perl Enterprise

• Pediatrics Physician in Kingston, PA
• Providers in Kingston, PA by specialty
• Pediatrics Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; 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.