Organization
PEDIATRIC ASSOCIATES, PA
Active
Organization
PEDIATRIC ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MELISSA L MACOLLEY (BUSINESS MANAGER)
(302) 368-8612
Entity
Organization
Contact information
Practice address
4735 OGLETOWN STANTON RD, MAP 2 SUITE 1116, NEWARK, DE 19713-2072
(302) 368-8612
(302) 368-8836
Mailing address
4735 OGLETOWN STANTON RD, MAP 2 SUITE 1116, NEWARK, DE 19713-2072
(302) 368-8612
(302) 368-8836
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
1989014003
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000079002
IBC GROUP
DE
01
—
0075682000
IBC GROUP
DE
01
—
75682001
AMERIHEALTH GROUP
DE
01
—
78530
AETNA GROUP
DE
Enumeration date
08/31/2006
Last updated
08/22/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up