Quakertown Pediatric Associates PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD016392E Issued in PA

Legal business name

QUAKERTOWN PEDIATRIC ASSOCIATES PC

Practice address

99 N West End Blvd Ste 110
Quakertown, PA 18951

Phone

(215) 536-1915

Fax

(215) 536-1915

NPI assigned

Nov 22, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Eduardo A Cevallos, M.D.

Title

President

Phone

(215) 536-1915

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Cevallos & Moise Pediatric Assoc PC Former legal business name

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533859200000",
    "number": "1962485177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 N WEST END BLVD STE 110",
            "city": "QUAKERTOWN",
            "state": "PA",
            "postal_code": "18951",
            "telephone_number": "215-536-1915",
            "fax_number": "215-536-9189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 N WEST END BLVD STE 110",
            "city": "QUAKERTOWN",
            "state": "PA",
            "postal_code": "18951",
            "telephone_number": "215-536-1915",
            "fax_number": "215-536-1915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUAKERTOWN PEDIATRIC ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-22",
        "last_updated": "2018-08-10",
        "status": "A",
        "authorized_official_last_name": "CEVALLOS",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-536-1915",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD016392E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011467990001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cevallos & Moise Pediatric Assoc PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Pediatrics Physician in Quakertown, PA
• Providers in Quakertown, 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 10, 2018; 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.