CEDAR CREST PEDIATRICS – NPI #1275585762
Pediatrics

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.

Health Care Provider Taxonomy Code for Pediatrics

CEDAR CREST PEDIATRICS is a provider located in ALLENTOWN, PA. NPPES has assigned the NPI number 1275585762 to CEDAR CREST PEDIATRICS on May 16, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2080A0000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Adolescent Medicine

The NPI profile was last updated on Nov 24, 2025. 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 CEDAR CREST PEDIATRICS below.

NPI Profile for
CEDAR CREST PEDIATRICS

NPI Number
1275585762
Enumeration Date

(more than 20 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
CEDAR CREST PEDIATRICS
Primary location
1517 POND ROAD
ALLENTOWN, PA 18104-2253
Phone: (610) 395-4444 Fax: (610) 366-7673
Mailing address
Same as primary location
Organization Subpart
Yes - CEDAR CREST PEDIATRICS is subpart of another organization.
Authorized Official
KIMBERLY CLARK
PRACTICE MANAGER
Phone: (610) 395-4444
Updated
Certification Date
Nov 24, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
2080A0000X
- Pediatrics / Adolescent Medicine (Primary)		 PA OS004497L

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.