PEDIATRIC ASSOCIATES (NPI# 1811941057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811941057 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC ASSOCIATES |
| Practice Address |
30 Medical Center Blvd Suite 103 Upland PA 19013-3955 |
| Practice Telephone | 6108747111 |
| Practice Fax Number | 6108745687 |
| Mailing Telephone | 6108747111 |
| Mailing Fax Number | 6108745687 |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2016-02-18 |
| Authorized Official Name | DR. RONALD J GOLDBERG (PHYSICIAN) |
| Authorized Official Telephone | 6108748122 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0006704470001 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205974623 | Pediatric Associates | Pediatrics | 450 Veterans Memorial Pkwy Bldg 10, East Providence, RI 02914-5300 | 2007-02-01 |
| 1013954510 | Pediatric Associates | Pediatrics | 321c E College Ave, Stanton, KY 40380-2325 | 2006-06-01 |
| 1851348338 | Pediatric Associates | Pediatrics | 156 Island Creek Road, Pikeville, KY 41501 | 2006-05-28 |
| 1487600615 | Pediatric Associates | Family Medicine | 1710 N Main St, Pediatric Associates, Hazard, KY 41701-1278 | 2006-05-26 |
| 1851848899 | Pediatric Associates | Specialist | 3410 Indian School Rd Ne, Albuquerque, NM 87106-1148 | 2016-09-07 |
| 1710318886 | Pediatric Associates | Pediatrics | 1001 Hioaks Rd, Richmond, VA 23225-4029 | 2013-11-27 |
| 1366735581 | Pediatric Associates | Physician Assistant | 400 Parnassus Ave, San Francisco, CA 94143-2202 | 2011-05-20 |
| 1295921534 | Pediatric Associates | Clinic/Center | 2401 Blueridge Ave, Suite 210, Wheaton, MD 20902-4517 | 2007-09-20 |
| 1073674206 | Pediatric Associates | Pediatrics | 4501 Groveway, Houston, TX 77087 | 2006-12-12 |
| 1639257215 | Pediatric Associates | Specialist | 59325 River West Drive, Suite D, Plaquemine, LA 70764 | 2006-11-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | PEDIATRIC ASSOCIATES FOR LANGUAGE AND SPEECH, PLLC | 333 West 57th St., Ste 107, New York, Ny 10019 |
| Massachusetts Corporations | PEDIATRIC ASSOCIATES INC. OF BROCKTON | 370 Oak Street, Brockton, MA 02301 |
| Iowa Business Entities | PEDIATRIC ASSOCIATES IOWA CITY BUILDING PARTNERSHIP LLP | 605 E Jefferson St, Iowa City, IA 52245 |
| Virginia Business Entities | PEDIATRIC ASSOCIATES OF ALEXANDRIA INC. | 6355 Walker Lane #401, Alexandria, Virginia 22310 |
| Virginia Business Entities | PEDIATRIC ASSOCIATES OF CHARLOTTESVILLE P.L.C. | 1011 E Jefferson St, Charlottesville, Virginia 22902 |
| Iowa Business Entities | PEDIATRIC ASSOCIATES OF CORALVILLE BUILDING PARTNERSHIP LLP | 605 E Jefferson St, Iowa City, IA 52245 |
| Colorado Business Entities | Pediatric Associates of Durango, Inc. | 29423 Highway 160, Durango, CO 81301 |
| Massachusetts Corporations | PEDIATRIC ASSOCIATES OF FALL RIVER, INC. | 851 Middle St., Fall River, MA 02721 |
| Massachusetts Corporations | PEDIATRIC ASSOCIATES OF FRANKLIN COUNTY, P.C. | 56 Main St., Turners Falls, MA 01376 |
| Oregon Corporations, Companies and Business Names | PEDIATRIC ASSOCIATES OF GRESHAM, P.C. | 2150 Ne Division St Ste 103, Gresham, OR 97030 |
| Street Address |
30 MEDICAL CENTER BLVD SUITE 103 |
| City | UPLAND |
| State | PA |
| Zip Code | 19013-3955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922004985 | S Jay Hirsh | Urology | 30 Medical Center Blvd, Ste 102, Upland, PA 19013-3955 | 2005-06-24 |
| 1174981278 | Jennifer Howarth | Registered Nurse | 30 Medical Center Blvd, Pob 1 Suite 305, Upland, PA 19013 | 2016-02-03 |
| 1699101428 | Caitlin Sarah Morgan | Dietitian, Registered | 30 Medical Center Blvd, Suite 205, Upland, PA 19013 | 2013-09-25 |
| 1568726669 | Michelle R Marcantuno | Nurse Practitioner | 30 Medical Center Blvd, Suite 404, Upland, PA 19013 | 2012-07-03 |
| 1265720502 | Yelena Kostyukov | Physician Assistant | 30 Medical Center Blvd, Prof Office Bldg 1, Suite 305, Upland, PA 19013 | 2011-07-20 |
| 1760790380 | Rita P Nunag | Pediatrics | 30 Medical Center Blvd, Suite 205, Upland, PA 19013 | 2010-09-16 |
| 1841503232 | Venkata Sandeep Yadavalli | Internal Medicine | 30 Medical Center Blvd, Suite 404, Upland, PA 19013 | 2010-07-14 |
| 1487965364 | Sonia Brar | Internal Medicine | 30 Medical Center Blvd, Suite 404, Upland, PA 19013 | 2010-06-25 |
| 1043521255 | Rambabu Thallapaneni | Family Medicine | 30 Medical Center Blvd, Suite 404, Upland, PA 19013 | 2010-06-23 |
| 1215250758 | Erin Marie Mannella | Nurse Practitioner | 30 Medical Center Blvd, Suite 404, Upland, PA 19013-3955 | 2010-03-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790305043 | Erika Pack | Student in an Organized Health Care Education/Training Program | Crozer-chester Medical Center, 1 Medical Center Blvd., Upland, PA 19013 | 2020-04-16 |
| 1477195287 | Andrew Matthews | Counselor | 301 West 15 Street, Chester, PA 19013 | 2019-10-14 |
| 1780241133 | Raashidah Elizabeth Bowman | Contractor | 1208 Remington Street, Chester, PA 19013 | 2019-05-21 |
| 1134609464 | Shamira Clintonia Johnson | Nurse's Aide | 217 W 5th St, Chester, PA 19013 | 2018-08-16 |
| 1871081299 | Michael Briskey | Student in an Organized Health Care Education/Training Program | 1 Medical Center Blv.d, Chester, PA 19013 | 2018-05-01 |
| 1356845499 | Sonia Gaur | Internal Medicine | 1 Medical Center Blvd Fl 3, Chester, PA 19013 | 2018-03-22 |
| 1548619232 | Beth Barol | Social Worker | 1602 Walnut St, Center for Social Work Education, Chester, PA 19013 | 2016-06-03 |
| 1235594888 | Eryka Jackson | Counselor | 516 West 5th Street, Chester, PA 19013 | 2015-12-28 |
| 1437553146 | Erin Hipple | Counselor | 200 West 9th St, Chester, PA 19013 | 2014-10-09 |
| 1588079867 | Crozer Chester Medical Center | Clinic/Center | 201 Bridgewater Road, Chester Township, PA 19013 | 2014-06-25 |
| Find all providers in zip 19013 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| 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) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164859385 | Pediatric Adolescent Clinic | Pediatrics | 1214 Adriana Way, Upland, CA 91784-1742 | 2013-10-02 |
| 1255762001 | Raouf A Ibrahim I | Pediatrics | 1214 Adriana Way, Upland, CA 91784-1742 | 2013-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912516279 | Stc Pediatrics LLC | Pediatrics | 3601 A St Fl Family, Philadelphia, PA 19134-1043 | 2020-07-23 |
| 1386288702 | Advocare, LLC | Pediatrics | 2000 Hamilton St Ste 109, Philadelphia, PA 19130-3847 | 2019-10-29 |
| 1881253011 | Main Street Pediatrics of Greater Scranton | Pediatrics | 247 Main St # Pa, Dickson City, PA 18519-1641 | 2019-06-11 |
| 1801232962 | St. Luke's Physician Group, Inc | Pediatrics | 208 Lifeline Rd Ste 201, Stroudsburg, PA 18360-6473 | 2013-05-16 |
| 1558676890 | Care Network Norristown | Pediatrics | 1340 Dekalb St Ste 4, Norristown, PA 19401-3434 | 2010-08-11 |
| 1831427319 | Ellis H Sacks | Pediatrics | 2138 Lombard St, Apt 3b, Philadelphia, PA 19146-1261 | 2009-11-23 |
| 1720250137 | North Pittsburgh Pediatrics and Adolescent | Pediatrics | 11676 Perry Hwy Ste 2204, Wexford, PA 15090-7202 | 2008-03-25 |
| 1780896514 | Cheryl A Duffy Md Inc | Pediatrics | 1914 Mercer Avenue, Farrell, PA 16121 | 2007-05-04 |
| 1265575955 | Providence Pediatrics, PC | Pediatrics | 338 Russell Avenue, Williamsport, PA 17701 | 2007-02-14 |
| 1972691103 | Pediatric Care Center PC | Pediatrics | 100 Neale Address, Mahoning Medical Center, Marion Center, PA 15759-0268 | 2006-10-11 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on PEDIATRIC ASSOCIATES.
| 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.