Organization Active NPI

Pediatric Care Center P C

  • Rural Health Clinic/Center
  • Marion Center, PA
National Provider Identifier
1912872136
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
PEDIATRIC CARE CENTER P C
Practice address
100 Neal Ave
Marion Center, PA 15759
Phone
(724) 397-2326
Fax
(724) 397-2420
NPI assigned
Oct 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Authorized official

Name
Rizwan Jabir, MD
Title
Owner
Phone
(724) 388-3127

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

100 Neal Ave
Marion Center, PA 15759

Mailing address

PO Box 268
Marion Center, PA 15759-0268
Phone (724) 397-2326

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251021000346 PA Part A Provider - Rural Health Clinic 8921270802 Practice locations: Marion Center, PA

Rural health clinic certification: CCN 393931

Legal name
PEDIATRIC CARE CENTER P C
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
May 20, 2026
Last certification
May 20, 2026
Ownership / control type
1B
Organization structure
CorporationProprietary
Enrollment address
100 Neal Ave
Marion Center, PA 15759

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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
39D0876060Pediatric Care Center100 Neal Ave, Marion Center, PA 15759Certificate of waiverDec 19, 2026

National Provider Directory

National Provider Directory
Tax ID family
Pediatric Care Center P C3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Rizwan Jabir Individual 5% Or Greater Direct Ownership InterestOwner Aug 1, 1999 50%
Corporate OfficerPresident Aug 1, 1999 50%
Operational/Managerial ControlPresident Aug 1, 1999 50%
Ameena Jabir Individual 5% Or Greater Direct Ownership InterestOwner Aug 1, 1999 50%
Corporate OfficerVice President Aug 1, 1999 50%
Operational/Managerial ControlVice President Aug 1, 1999 50%

NPI Registry JSON

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

{
    "created_epoch": "1759795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759968000000",
    "number": "1912872136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 268",
            "city": "MARION CENTER",
            "state": "PA",
            "postal_code": "157590268",
            "telephone_number": "724-397-2326",
            "fax_number": "724-397-2420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NEAL AVE",
            "city": "MARION CENTER",
            "state": "PA",
            "postal_code": "15759",
            "telephone_number": "724-397-2326",
            "fax_number": "724-397-2420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC CARE CENTER P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-07",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A",
        "authorized_official_last_name": "JABIR",
        "authorized_official_first_name": "RIZWAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-388-3127",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion Center, PA

Sources for this page

Verify at the official NPI Registry.