BEACON PEDIATRICS LLC NPI 1689959538

NPI Information

  • NPI: 1689959538
  • Provider Name: BEACON PEDIATRICS LLC
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • :
  • CLIA Number: 08D1086658
  • Address: 18947 JOHN J WILLIAMS HWY
    SUITE 212
    REHOBOTH BEACH, DE
    ZIP 19971
  • Phone: (302) 645-8212

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NPI Details

BEACON PEDIATRICS LLC is a pediatrics in Rehoboth Beach, DE. 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. BEACON PEDIATRICS LLC NPI is 1689959538. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

18947 JOHN J WILLIAMS HWY
SUITE 212
REHOBOTH BEACH, DE
ZIP 19971-474
Phone: (302) 645-8212
Fax: (302) 645-2199

The provider's authorized official is Nancy M Gideon .
The authorized official title is Md/practice Owner and has the following contact phone number (302) 645-8212.

The CLIA number assigned to this NPI record is 08D1086658 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/11/2011 and was last updated on 5/9/2025.

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
1363LP0200XNurse PractitionerPediatricsNo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
3208000000XPediatricsYes

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: 11/21/2025

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