The Pediatric Village

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

Legal business name

THE PEDIATRIC VILLAGE

Practice address

4910 Massachusetts Ave NW
Suite 217
Washington, DC 20016-4300

Phone

(202) 244-1553

NPI assigned

Aug 17, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Alex Torres

Title

Billing MGR

Phone

(703) 684-4581

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cheryl F Edmonds, MD

  • Pediatrics Physician
  • Washington, DC
  • NPI 1760571491
  NPD (past)
• Margaretia L Jackson, M.D.

  • Pediatrics Physician
  • Washington, DC
  • NPI 1063569978
  NPD (past)
• Bertha Koomson

  • Pediatrics Physician
  • Washington, DC
  • NPI 1063445856
  NPD (past)

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187308800000",
    "number": "1992997449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4910 MASSACHUSETTS AVE NW",
            "address_2": "SUITE 217",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200164300",
            "telephone_number": "202-244-1553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 MASSACHUSETTS AVE NW",
            "address_2": "SUITE 217",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200164300",
            "telephone_number": "202-244-1553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PEDIATRIC VILLAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-17",
        "last_updated": "2007-08-17",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "BILLING MGR",
        "authorized_official_telephone_number": "703-684-4581",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST FEDERAL",
            "identifier": "6466",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Methodist Home of the District of Columbia
• The Moments of Grace
• The Monroe School, Inc.
• The Nehemiah Project, Inc
• The Okafor Group Inc.
• The People'S Choice Behavioral & Health Care Center LLC
• The People'S Choice Behavioral & Health Care Center, LLC
• The Perfect Therapy Group
• The Phillipmichael Company LLC
• The Phoenix Group

• Pediatric Adolescent Medicine Physician in Washington, DC
• Providers in Washington, DC by specialty
• Pediatric Adolescent Medicine Physician in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2007; 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.