STC PEDIATRICS LLC (NPI# 1730723248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730723248 |
| Entity Type | Organization |
| Organization Name | STC PEDIATRICS LLC |
| Other Organization Name | ST. CHRISTOPHER'S PEDIATRIC ASSOCIATES GASTROENTEROLOGY - 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 | 2019-10-29 |
| Last Update Date | 2019-12-16 |
| Authorized Official Name | LISA CARTER (LEAD ENROLLMENT DIV 1) |
| Authorized Official Telephone | 4846280797 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| St Christophers Pediatric Associates Gastroenterology-Sewell | Doing Business As Name - Organization |
| St. Christopher's Pediatric Associates Gastroenterology - 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 |
| 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 |
| 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 | 2080P0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Gastroenterology |
| A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740301605 | Cooper Pediatric Specialist | Pediatrics | 4 Plaza Dr Ste 401, Bunker Hill Plaza, Sewell, NJ 08080-2747 | 2007-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225419377 | Gary Alan Herman | Pediatrics | 45 Arreton Rd, Princeton, NJ 08540-1427 | 2015-06-15 |
| 1487972659 | Jeannette Rose Gonzalez Simon | Pediatrics | 19 Hathaway Ln, Verona, NJ 07044-2306 | 2010-05-12 |
| 1902123615 | Melissa Weidner | Pediatrics | 51 French St, Meb-303, New Brunswick, NJ 08901-1921 | 2010-04-21 |
| 1851537146 | Jay Barth | Pediatrics | 550 Warwick Ave, Teaneck, NJ 07666-2927 | 2008-12-17 |
| 1225290919 | Khadija T Toor | Pediatrics | 38 Meadowlands Pkwy Ste 205, Secaucus, NJ 07094-2925 | 2008-06-25 |
| 1720265234 | Mohini Gautam Patel | Pediatrics | 100 Madison Ave Fl 2, Goryeb Children's Hospital At Morristown Medical Center, Morristown, NJ 07960-6136 | 2008-01-28 |
| 1265643068 | Katherine Atienza Orellana | Pediatrics | 155 Polifly Rd Ste 102, Hackensack, NJ 07601-1771 | 2007-05-24 |
| 1649484791 | Rupinder K Gill | Pediatrics | Mob 3, Saint Peter's University Hospital, New Brunswick, NJ 08901 | 2007-05-09 |
| 1356336960 | Kathleen Graham Lomax | Pediatrics | 1 Health Plz, Building 125/3434a, East Hanover, NJ 07936-1016 | 2005-09-20 |
| 1578557344 | Martin Daniel Fried | Pediatrics | 3200 Sunset Ave, Suite 100, Ocean, NJ 07712-4567 | 2005-09-07 |
| 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.