Organization Active NPI

Saba Pediatric Medicine,LLC

  • Pediatrics Physician
  • Rockville, MD
National Provider Identifier
1871783456
Registry record updated Nov 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D0047734 Issued in MD
Legal business name
SABA PEDIATRIC MEDICINE,LLC
Practice address
15225 Shady Grove Rd
Suite 208
Rockville, MD 20850-3258
Phone
(301) 838-8977
Fax
(301) 838-0176
NPI assigned
Jul 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2011

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

Authorized official

Name
Christine L Saba, M.D.
Title
President
Phone
(301) 838-8977

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X D0047734 MD Primary

Addresses

Primary practice location

15225 Shady Grove Rd
Suite 208
Rockville, MD 20850-3258

Mailing address

15225 Shady Grove Rd
Suite 208
Rockville, MD 20850-3258
Phone (301) 838-8977

Other identifiers 1

IdentifierTypeStateIssuer
302410500MedicaidMD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320278400000",
    "number": "1871783456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15225 SHADY GROVE RD",
            "address_2": "SUITE 208",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503258",
            "telephone_number": "301-838-8977",
            "fax_number": "301-838-0176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15225 SHADY GROVE RD",
            "address_2": "SUITE 208",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503258",
            "telephone_number": "301-838-8977",
            "fax_number": "301-838-0176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SABA PEDIATRIC MEDICINE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-30",
        "last_updated": "2011-11-03",
        "status": "A",
        "authorized_official_last_name": "SABA",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-838-8977",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0047734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "302410500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; 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.