PEDIATRICS AT RIVER'S EDGE INC NPI 1003217183

NPI Information

  • NPI: 1003217183
  • Provider Name: PEDIATRICS AT RIVER'S EDGE, INC
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • CLIA Number: 10D0689192
  • Address: 9948 GROVE DR
    NEW PORT RICHEY, FL
    ZIP 34654
  • Phone: (727) 844-3551

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NPI Details

PEDIATRICS AT RIVER'S EDGE, INC is a pediatrics in New Port Richey, FL. The provider is 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. PEDIATRICS AT RIVER'S EDGE, INC NPI is 1003217183. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9948 GROVE DR
NEW PORT RICHEY, FL
ZIP 34654-403
Phone: (727) 844-3551
Fax: (727) 847-0427

The provider's authorized official is Aldo C Dondero .
The authorized official title is President and has the following contact phone number (727) 844-3551.

The CLIA number assigned to this NPI record is 10D0689192 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/9/2014 and was last updated on 12/30/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsYes
2363LP0200XNurse PractitionerPediatrics3078370FLORIDANo
3363LP0200XNurse PractitionerPediatrics1881067460FLORIDANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1268389000MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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