STC PEDIATRICS LLC (NPI# 1063056208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063056208 |
| Entity Type | Organization |
| Organization Name | STC PEDIATRICS LLC |
| Other Organization Name | ST. CHRISTOPHER'S PEDIATRIC ASSOCIATES OTOLARYNGOLOGY - SEWELL |
| Practice Address |
100 Kings Way E Ste C Sewell NJ 08080-2238 |
| Mailing Address |
Po Box 13579 Reading PA 19612-3579 |
| Practice Telephone | 8565820644 |
| Enumeration Date | 2019-10-31 |
| Last Update Date | 2019-12-16 |
| Authorized Official Name | GARY CONNER (VP & CFO) |
| Authorized Official Telephone | 4846280797 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YP0228X |
Otolaryngology Specialization: Pediatric Otolaryngology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| St. Christopher's Pediatric Associates Otolaryngology - Sewell | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912516279 | Stc Pediatrics LLC | Pediatrics | 3601 A St Fl Family, Philadelphia, PA 19134-1043 | 2020-07-23 |
| 1932722881 | Stc Pediatrics LLC | Orthopaedic Surgery | 301 S 7th Ave Ste 3120, West Reading, PA 19611-1495 | 2020-05-27 |
| 1649806217 | Stc Pediatrics LLC | Pediatrics | 160 E Erie Ave Fl 3, Philadelphia, PA 19134-1011 | 2020-03-16 |
| 1033753439 | Stc Pediatrics LLC | Pediatrics | 500 York Rd Ste 250, Jenkintown, PA 19046-2870 | 2019-10-30 |
| 1861036279 | Stc Pediatrics LLC | Pediatrics | 300 E Hunting Park Ave, Philadelphia, PA 19124-6018 | 2019-10-30 |
| 1639713944 | Stc Pediatrics LLC | Pediatrics | 1201 Langhorne Newtown Rd Ste 401, Langhorne, PA 19047-1201 | 2019-10-30 |
| 1548804909 | Stc Pediatrics LLC | Psychiatry & Neurology | 100 Kings Way E Ste C, Sewell, NJ 08080-2238 | 2019-10-29 |
| 1962046474 | Stc Pediatrics LLC | Pediatrics | 301 Oxford Valley Rd Ste 1201, Yardley, PA 19067-7706 | 2019-10-29 |
| 1508466913 | Stc Pediatrics LLC | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2020-10-27 |
| 1548867476 | Stc Pediatrics LLC | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2020-10-05 |
| Street Address |
100 KINGS WAY E STE C |
| City | SEWELL |
| State | NJ |
| Zip Code | 08080-2238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548804909 | Stc Pediatrics LLC | Psychiatry & Neurology | 100 Kings Way E Ste C, Sewell, NJ 08080-2238 | 2019-10-29 |
| 1194363291 | Stc Pediatrics LLC | Optometrist | 100 Kings Way E Ste C, Sewell, NJ 08080-2238 | 2019-12-19 |
| 1871131771 | Stc Pediatrics LLC | Pediatrics | 100 Kings Way E Ste C, Sewell, NJ 08080-2238 | 2019-12-11 |
| 1740825215 | Stc Pediatrics LLC | Pediatrics | 100 Kings Way E Ste C, Sewell, NJ 08080-2238 | 2019-11-08 |
| 1659916138 | Stc Pediatrics LLC | Pediatrics | 100 Kings Way E Ste C, Sewell, NJ 08080-2238 | 2019-11-08 |
| 1568006799 | Stc Pediatrics LLC | Ophthalmology | 100 Kings Way E Ste C, Sewell, NJ 08080-2238 | 2019-10-31 |
| 1417591645 | Stc Pediatrics LLC | Surgery | 100 Kings Way E Ste C, Sewell, NJ 08080-2238 | 2019-10-31 |
| 1427692821 | Stc Pediatrics LLC | Internal Medicine | 100 Kings Way E Ste C, Sewell, NJ 08080-2238 | 2019-10-30 |
| 1194369504 | Stc Pediatrics LLC | Plastic Surgery | 100 Kings Way E Ste C, Sewell, NJ 08080-2238 | 2019-10-30 |
| 1801430202 | Stc Pediatrics LLC | Pediatrics | 100 Kings Way E Ste C, Sewell, NJ 08080-2238 | 2019-10-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679180301 | Peter Ansong | Pharmacist | 500 Egg Harbor Road, Sewell, NJ 08080 | 2020-09-27 |
| 1477018752 | Shi-iii Washington Township LLC | Alzheimer Center (Dementia Center) | 339 Greentree Road, Washington Township, NJ 08080 | 2019-01-31 |
| 1245741495 | Assoc. for Retarded Citizens. Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1 Fawn Drive, Sewell, NJ 08080 | 2017-10-16 |
| 1851802029 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 275 Greentree Road, Sewell, NJ 08080 | 2017-10-16 |
| 1598284770 | Bryan Hendricks | Psychologist | 123 Egg Harbor Rd., Suite 302, Sewell, NJ 08080 | 2017-09-19 |
| 1912426339 | Mary Faralli | Speech-Language Pathologist | 24 Upton Way, Sewell, NJ 08080 | 2017-09-18 |
| 1669990578 | Oaks Integrated Care | Clinic/Center | 322 Fishpond Rd, Sewell, NJ 08080 | 2017-08-31 |
| 1972032316 | Nutan K Ravani | Social Worker | 3 Heritage Valley Drive, Sewell, NJ 08080 | 2017-06-08 |
| 1447784038 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 224 West Warren Avenue, Sewell, NJ 08080 | 2017-04-20 |
| 1326572173 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 363 Ganttown Road, Turnersville, NJ 08080 | 2017-04-19 |
| Find all providers in zip 08080 | ||||
| Taxonomy Code | 207YP0228X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Pediatric Otolaryngology |
| A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043204332 | Jeffrey Ginsburg | Otolaryngology | 51 State Rt 23, Riverdale, NJ 07457-1625 | 2005-09-01 |
| 1457726986 | Pediatric Otolaryngologic Associates | Otolaryngology | 2 S Summit Ave, 2nd Floor, Hackensack, NJ 07601-1117 | 2015-12-09 |
| 1134562143 | Christen Lennon Caloway | Otolaryngology | 90 Bergen St Ste 8100, Newark, NJ 07103 | 2013-04-09 |
| 1457675589 | Ryan D Walker | Otolaryngology | 200 Bowman Drive, Suite D-285, Voorhees, NJ 08043 | 2010-03-18 |
| 1033387766 | Michael Y Chee | Otolaryngology | 30 Prospect Ave, Wfan- PC311, Hackensack, NJ 07601 | 2008-02-15 |
| 1669533766 | Diana N Traquina | Otolaryngology | 181 Somerset St, New Brunswick, NJ 08901-1946 | 2006-12-12 |
| 1417030792 | Michael Andrew Tavill | Otolaryngology | 1131 Broad Street, Ste 103, Shrewsbury, NJ 07702 | 2006-10-23 |
| 1639276009 | Bruce Allen Edelman | Otolaryngology | 557 Cranbury Rd Ste 3, East Brunswick, NJ 08816-5419 | 2006-09-20 |
| 1174563027 | Joel W Levitt | Otolaryngology | 769 Northfield Ave, Suite Ll2, West Orange, NJ 07052-1198 | 2006-06-08 |
| 1124075460 | Sharyar Daniel Samadi | Otolaryngology | 10 Forest Ave, 100, Paramus, NJ 07652-5242 | 2006-05-30 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.