Organization Active NPI

Wayne Pediatric Associates

  • Primary Care Clinic/Center
  • Wayne, PA
National Provider Identifier
1952315822
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
WAYNE PEDIATRIC ASSOCIATES
Practice address
110 W Lancaster Ave
Suite 3
Wayne, PA 19087-4043
Phone
(610) 293-2229
Fax
(610) 293-2231
NPI assigned
Jul 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ruth Mooreville, MDNPI 1538162219
Title
Doctor
Phone
(610) 293-2229

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
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

110 W Lancaster Ave
Suite 3
Wayne, PA 19087-4043

Mailing address

110 W Lancaster Ave
Suite 3
Wayne, PA 19087-4043
Phone (610) 293-2229

National Provider Directory

National Provider Directory

Locations

110 W Lancaster Ave
Ste 3
Wayne, PA 19087
Phone (610) 293-2229

Practitioners & affiliated clinicians

Practitioners 2

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": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1952315822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W LANCASTER AVE",
            "address_2": "SUITE 3",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190874043",
            "telephone_number": "610-293-2229",
            "fax_number": "610-293-2231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W LANCASTER AVE",
            "address_2": "SUITE 3",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190874043",
            "telephone_number": "610-293-2229",
            "fax_number": "610-293-2231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE PEDIATRIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MOOREVILLE",
        "authorized_official_first_name": "RUTH",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "610-293-2229",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.