Hanover Pediatric Associates, P.C.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

HANOVER PEDIATRIC ASSOCIATES, P.C.

Practice address

217 Broadway
Hanover, PA 17331-2503

Phone

(717) 632-8944

Fax

(717) 632-1224

NPI assigned

Jun 23, 2006

Organization subpart

No

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

Authorized official

Name

Douglas Joseph Masucci, M.D.NPI 1588632053

Title

President

Phone

(717) 632-8944

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 7

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

• Douglas Joseph Masucci, M.D.

  • Pediatrics Physician
  • Hanover, PA
  • NPI 1588632053
  Medicare reassignment NPD Authorized official
• Kaejin Kim, M.D.

  • Pediatrics Physician
  • Hanover, PA
  • NPI 1770551939
  Medicare reassignment NPD
• Melissa Parker Lavallee, M.D.

  • Pediatrics Physician
  • Hanover, PA
  • NPI 1295703684
  Medicare reassignment NPD
• Madison L Travor, PA-C

  • Medical Physician Assistant
  • Hershey, PA
  • NPI 1639952302
  Medicare reassignment
• Lauren Catherine Duffy, PA-C

  • Medical Physician Assistant
  • Hanover, PA
  • NPI 1497122964
  NPD (past)
• Rose Marie Hadfield, CPNP-PC

  • Pediatric Nurse Practitioner
  • Gettysburg, PA
  • NPI 1639578222
  NPD (past)
• Kaitlyn Koutris

  • Medical Physician Assistant
  • Bel Air, MD
  • NPI 1619444692
  NPD (past)

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891721064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 BROADWAY",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173312503",
            "telephone_number": "717-632-8944",
            "fax_number": "717-632-1224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 BROADWAY",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173312503",
            "telephone_number": "717-632-8944",
            "fax_number": "717-632-1224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANOVER PEDIATRIC ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MASUCCI",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-632-8944",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hanover Opco LLC
• Hanover Optometric Associates, Inc.
• Hanover Orthopaedic Associates
• Hanover Orthopaedic Associates,Inc
• Hanover Pathology Associates
• Hanover Pediatric Dentistry
• Hanover Public School District
• Hanover Surgical Associates
• Hanover Surgicenter, L.L.C.
• Hanover Urology Associates Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.