PEDS 360 PLUS CORP NPI 1730940263

NPI Information

  • NPI: 1730940263
  • Provider Name: PEDS 360 PLUS CORP
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • Address: 361 HIGHLAND AVE STE 206
    JENKINTOWN, PA
    ZIP 19046
  • Phone: (267) 594-8734

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NPI Details

PEDS 360 PLUS CORP is a pediatrics in Jenkintown, PA. 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. PEDS 360 PLUS CORP NPI is 1730940263. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

361 HIGHLAND AVE STE 206
JENKINTOWN, PA
ZIP 19046-632
Phone: (267) 594-8734
Fax: (215) 886-2136

The provider's authorized official is Nichelle Adegbite-maraventano .
The authorized official title is Owner and has the following contact phone number (267) 594-8734.

The enumeration date for this NPI number is 1/22/2024 and was last updated on 1/22/2024.

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
1133V00000XDietitian, RegisteredNo
2363LF0000XNurse PractitionerFamilyNo
31041C0700XSocial WorkerClinicalNo
4208000000XPediatricsYes

What is NPI?

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This page was last updated on: 11/21/2025

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