STC PEDIATRICS LLC


Address: 100 Kings Way E Ste C, Sewell, NJ 08080-2238
Phone: 6107436049

STC PEDIATRICS LLC (NPI# 1659916138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659916138
Entity Type Organization
Organization Name STC PEDIATRICS LLC
Practice Address 100 Kings Way E Ste C
Sewell
NJ 08080-2238
Mailing Address Po Box 13579
Reading
PA 19612-3579
Practice Telephone 6107436049
Enumeration Date 2019-11-08
Last Update Date 2019-11-08
Authorized Official Name GARY CONNER (CEO)
Authorized Official Telephone 4846288181
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0216X Pediatrics
Specialization: Pediatric Rheumatology
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
St. Christophers Pediatric Associates Rheumatology - Sewell Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 100 KINGS WAY E STE C
City SEWELL
State NJ
Zip Code 08080-2238

Providers in the same location

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
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
1063056208 Stc Pediatrics LLC Otolaryngology 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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2080P0216X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Rheumatology

Taxonomy Definition

A pediatrician who treats diseases of joints, muscle, bones and tendons. A pediatric rheumatologist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1285921395 Chan Rodney Beals Pediatrics 514 Kimball Ave, Westfield, NJ 07090-2445 2011-07-10
1285052662 Marla Guzman Pediatrics 890 Mountain Ave, New Providence, NJ 07974-1218 2014-04-02
1619238383 Sarah Sertial Paul Pediatrics 100 Madison Ave, Farris Building, 4th Floor, Morristown, NJ 07960 2012-05-30
1962648832 Jaya Srinivasan-mehta Pediatrics 703 Main St, St. Joseph's Children's Hospital- Rm X609, Paterson, NJ 07503-2621 2008-12-26
1932375896 Evelyn David Pediatrics 89 French St, New Brunswick, NJ 08901-1935 2008-05-01
1497952022 Anna Carmela Sagcal Gironella Pediatrics 30 Prospect Avenue, 3 Wfan, Hackensack, NJ 07601-1915 2007-06-28
1699859082 Rutgers Health-rwj Pediatric Rheumatology Pediatrics 89 French Street, Suite 2300, New Brunswick, NJ 08901 2006-10-24
1326122565 Lakshmi N. Moorthy Pediatrics 89 French Street, Suite 2300, New Brunswick, NJ 08901 2006-10-24
1376638395 Children's Healthcare Associates of New Jersey PC Pediatrics 1012 Laurel Oak Rd, Chop Care Network At Voorhees Scc, Voorhees, NJ 08043-3505 2006-10-04
1487608337 Jennifer Weiss Pediatrics 30 Prospect Ave, Hackensack University Medical Center, Hackensack, NJ 07601-1914 2006-05-22
Find all providers with the same taxonomy

Competitor

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City SEWELL
Zip Code 08080

Improve Information

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Dataset Information

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.

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