Organization Active NPI

Wyomissing Pediatric Associates, P.C.

  • Pediatrics Physician
  • West Reading, PA
National Provider Identifier
1982669867
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
WYOMISSING PEDIATRIC ASSOCIATES, P.C.
Practice address
301 S 7TH Ave
Suite 3170
West Reading, PA 19611-1410
Phone
(610) 374-4491
Fax
(610) 478-1170
NPI assigned
Apr 20, 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
Vincent J Moffitt, M.D.
Title
President
Phone
(610) 374-4491

Specialties & licenses 1

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

Addresses

Primary practice location

301 S 7TH Ave
Suite 3170
West Reading, PA 19611-1410

Mailing address

301 S 7TH Ave
Suite 3170
West Reading, PA 19611-1410
Phone (610) 374-4491

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1982669867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S 7TH AVE",
            "address_2": "SUITE 3170",
            "city": "WEST READING",
            "state": "PA",
            "postal_code": "196111410",
            "telephone_number": "610-374-4491",
            "fax_number": "610-478-1170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S 7TH AVE",
            "address_2": "SUITE 3170",
            "city": "WEST READING",
            "state": "PA",
            "postal_code": "196111410",
            "telephone_number": "610-374-4491",
            "fax_number": "610-478-1170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYOMISSING PEDIATRIC ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MOFFITT",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-374-4491",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Reading, 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.