PEDIATRIC & ADOLESCENT MEDICAL ASSOC PC – NPI #1629169834
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Health Care Provider Taxonomy Code for Pediatrics

PEDIATRIC & ADOLESCENT MEDICAL ASSOC PC is a provider located in ROME, NY. NPPES has assigned the NPI number 1629169834 to PEDIATRIC & ADOLESCENT MEDICAL ASSOC PC on September 27, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PEDIATRIC & ADOLESCENT MEDICAL ASSOC PC below.

NPI Profile for
PEDIATRIC & ADOLESCENT MEDICAL ASSOC PC

NPI Number
1629169834
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PEDIATRIC & ADOLESCENT MEDICAL ASSOC PC
Primary location
117 W LIBERTY STREET
ROME, NY 13440
Phone: (315) 339-0401 Fax: (315) 339-2957
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DIANE HARDISH
BUSINESS MANAGER
Phone: (315) 339-0401
Updated
Identifiers

Identifiers for PEDIATRIC & ADOLESCENT MEDICAL ASSOC PC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNY00606597
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.