NPIMap

Organization Active NPI

Abc Pediatrics LLC

  • Pediatrics Physician
  • Dover, DE
National Provider Identifier
1982960464
Registry record updated May 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
C10006010 Issued in DE
Legal business name
ABC PEDIATRICS LLC
Practice address
740 S New St
Dover, DE 19904-3571
Phone
(302) 674-0222
Fax
(302) 674-0200
NPI assigned
Apr 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2017

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

Authorized official

Name
Mr. Mamoon Mahmoud, MDNPI 1285714410
Title
Physician
Phone
(302) 883-3266

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
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X C10006010 DE Primary

Addresses

Primary practice location

740 S New St
Dover, DE 19904-3571

Mailing address

740 S New St
Dover, DE 19904-3571
Phone (302) 674-0222

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
08D2044195Abc Pediatrics740 South New Street, Dover, DE 19904Certificate of waiverJul 17, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1333929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493942400000",
    "number": "1982960464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 S NEW ST",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199043571",
            "telephone_number": "302-674-0222",
            "fax_number": "302-674-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 S NEW ST",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199043571",
            "telephone_number": "302-674-0222",
            "fax_number": "302-674-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABC PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-09",
        "last_updated": "2017-05-05",
        "status": "A",
        "authorized_official_last_name": "MAHMOUD",
        "authorized_official_first_name": "MAMOON",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "302-883-3266",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "DE",
            "license": "C10006010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.