STC PEDIATRICS LLC (NPI# 1801430202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801430202 |
| 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 | 2019-10-30 |
| Last Update Date | 2019-10-30 |
| 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 | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| ST. CHRISTOPHER'S PEDIATRIC ASSOCIATES CARDIOLOGY- 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 | 2080P0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Cardiology |
| A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134773716 | Children's Center for Holistic Heart Health LLC | Pediatrics | 9 Hemlock Dr, Paramus, NJ 07652-3311 | 2019-07-31 |
| 1124420211 | Hudson Childrens Heart Center LLC | Pediatrics | 3234 John F Kennedy Blvd, Jersey City, NJ 07306-3419 | 2014-09-19 |
| 1649400656 | Cornelia Balteanu | Pediatrics | 1056 Dearborn Rd, Fort Lee, NJ 07024-4235 | 2009-07-24 |
| 1326277799 | Sarika Kalantre | Pediatrics | 90 Bergen St # 5100, Newark, NJ 07103 | 2009-07-07 |
| 1871739748 | Mohy Eldin A Kotb | Pediatrics | 33-41 Newark St Ste 4c, Hoboken, NJ 07030-5620 | 2008-12-26 |
| 1043486129 | Subhashini Subramanian | Pediatrics | 155 Polifly Rd Ste 106, Hackensack, NJ 07601-1749 | 2008-05-07 |
| 1164631537 | Maria Angela Tobias Umali-pamintuan | Pediatrics | 1623 Route 88 West, Suite A, Brick, NJ 08723 | 2007-05-22 |
| 1457571150 | Alpert,zales and Castro Pediatric Cardiology, Pa | Pediatrics | 1623 Route 88, Suite A, Brick, NJ 08724-3048 | 2007-04-26 |
| 1760606230 | Howard A Zucker | Pediatrics | 100 Winston Dr, Apt 9j-south, Cliffside Park, NJ 07010-3240 | 2007-04-13 |
| 1215079702 | Jose Marin | Pediatrics | 75 Raritan Avenue, Highland Park, NJ 08904 | 2007-02-13 |
| 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.