JACQUELINE K GENOVA (NPI# 1164497947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164497947 |
| Entity Type | Individual |
| Full Name | JACQUELINE K GENOVA |
| Credential | MD |
| Practice Address |
1503 Lansdowne Ave Ste 3002 Lansdowne Park Pediatrics Darby PA 19023 |
| Mailing Address |
1503 Lansdowne Ave Ste 3002 Darby PA 19023 |
| Practice Telephone | 6102374995 |
| Practice Fax Number | 6102377311 |
| Mailing Telephone | 6102374995 |
| Mailing Fax Number | 6102377311 |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2011-07-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MD068318L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IBC | 2258915000 | 01 | |
| AETNA | 3248072 | 01 | |
| HIGHMARK BS | GE1579643 | 01 | |
| KMHP | 30008552 | 01 | |
| CIGNA | 5611580 | 01 | |
| PA | 1008879940001 | 05 |
| Street Address |
1503 LANSDOWNE AVE STE 3002 LANSDOWNE PARK PEDIATRICS |
| City | DARBY |
| State | PA |
| Zip Code | 19023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780689794 | John Blannett | Internal Medicine | 1503 Lansdowne Ave, Ste 3001, Darby, PA 19023-1330 | 2005-06-16 |
| 1205376381 | Advanced Vascular and Wound Associates Inc | Internal Medicine | 1503 Lansdowne Ave, Suite 3006, Darby, PA 19023-1330 | 2017-03-08 |
| 1821532482 | Mercy Management of Southeastern Pennsylvania | Internal Medicine | 1503 Lansdowne Ave, Ste 3003, Darby, PA 19023-1330 | 2016-12-15 |
| 1417314147 | Sean Quigley | Physician Assistant | 1503 Lansdowne Ave, 1st Floor, Darby, PA 19023-1330 | 2016-01-26 |
| 1093181521 | Alexander Frederick Hansen | Pharmacist | 1503 Lansdowne Ave, Suite 1000, Darby, PA 19023-1330 | 2015-08-19 |
| 1942697321 | Physician Rehab Associates Dispensary | Non-Pharmacy Dispensing Site | 1503 Lansdowne Ave, 2001, Darby, PA 19023-1330 | 2015-04-23 |
| 1285042234 | Peter Grant | Pharmacist | 1503 Lansdowne Ave, Suite 1000, Darby, PA 19023-1330 | 2014-07-22 |
| 1669887154 | Taneestar Cohen | Nurse Practitioner | 1503 Lansdowne Ave, Suite 3006, Darby, PA 19023-1330 | 2014-06-24 |
| 1316287287 | Daniel V Jones | Psychologist | 1503 Lansdowne Ave, Suite 3008, Darby, PA 19023-1330 | 2013-02-28 |
| 1073868667 | Mercy Catholic Medical Center of Southeastern,pa | Pharmacy | 1503 Lansdowne Ave, Suite 1000, Darby, PA 19023-1330 | 2012-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972113348 | Ibrahim Abdulkadir Ahmed | Student in an Organized Health Care Education/Training Program | Mercy Catholic Medical Center, 1500 Lansdowne Avenue, Darby, PA 19023 | 2020-07-31 |
| 1437796497 | Elizabeth Megan Heyer | Emergency Medicine | 1500 Lansdowne Aveune, Darby, PA 19023 | 2019-12-09 |
| 1003476813 | Nicole Tomkowich | Student in an Organized Health Care Education/Training Program | 500 Lansdowne Avenue, Darby, PA 19023 | 2019-06-14 |
| 1497220131 | Margaret Kathleen Halloran | Nurse Practitioner | 1501 Lansdowne Ave Mob, 1st Floor, Darby, PA 19023 | 2018-10-09 |
| 1427428705 | Peter Goanue | Counselor | 207 North 2nd Street, Darby, PA 19023 | 2015-09-30 |
| 1518363696 | Trucompanion Transportation Service | Non-emergency Medical Transport (VAN) | 100 N 6th Street Apt 2, Darby, PA 19023 | 2014-11-17 |
| 1366872269 | Chirman Beatty | Licensed Practical Nurse | 400 S. 5th St Apt A9, Darby, PA 19023 | 2013-11-14 |
| 1639514151 | Advanced Nursing Care Inc | Nursing Care | 217 Clifton Avenue, Suite # 8, Collingdale, PA 19023 | 2013-05-10 |
| 1114277191 | Ayesha Farooq | Dentist | 14 Macdave Blvd, Gentle Dental, Collingdale, PA 19023 | 2012-09-17 |
| 1366736787 | Gi Medical Associates | Internal Medicine | 320 Macdade Blvd., Collingdale, PA 19023 | 2011-06-02 |
| Find all providers in zip 19023 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790126647 | Joanne Hallie Alfandre | Pediatrics | 1503 Lansdowne Ave Ste 3002, Darby, PA 19023-1308 | 2013-07-08 |
| 1891146502 | Valerie N Horn | Pediatrics | 1503 Lansdowne Ave Ste 3002, Darby, PA 19023 | 2016-06-23 |
| 1528027406 | Panagiotis Georgelos | Pediatrics | 1503 Lansdowne Ave, Suite 3002, Darby, PA 19023-1330 | 2006-03-21 |
| 1417922782 | Mercy Pediatric Associates PC | Pediatrics | 1503 Lansdowne Ave, Ste 3002, Darby, PA 19023 | 2006-02-21 |
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|---|---|---|---|---|
| 1093321622 | St Luke's Physician Group Inc | Pediatrics | 514 Delaware Ave, Fountain Hill, PA 18015-1104 | 2020-09-18 |
| 1972138204 | Margarita Bello | Pediatrics | 448 Walton Ave Unit 217, Hummelstown, PA 17036-4010 | 2020-03-06 |
| 1548809494 | Childen's Community Care | Pediatrics | 1811 Boulevard of The Allies Ste 200, Pittsburgh, PA 15219-5964 | 2019-12-24 |
| 1164069241 | Ayala Laufer-cahana | Pediatrics | 647 Montgomery School Ln, Wynnewood, PA 19096-1013 | 2019-12-08 |
| 1023652708 | Pediatric Care Group, P.C. | Pediatrics | 890 2nd Street Pike Ste 904, Richboro, PA 18954-1021 | 2019-11-05 |
| 1861036279 | Stc Pediatrics LLC | Pediatrics | 300 E Hunting Park Ave, Philadelphia, PA 19124-6018 | 2019-10-30 |
| 1679115760 | Rural Health Corporation of Northeastern Pennsylvania | Pediatrics | 1730 E Broad St Ste 2, Hazleton, PA 18201-5657 | 2019-10-10 |
| 1003462797 | Lucyndia Rose Marino | Pediatrics | 130 Classic Ln, New Castle, PA 16105-5304 | 2019-08-18 |
| 1861048803 | Geisinger Clinic | Pediatrics | 55 Medical Drive, Lewisburg, PA 17837-6343 | 2019-08-15 |
| 1447818729 | Elizabeth Edmondston Tarr | Pediatrics | 3401 Civic Center Blvd Fl 9nw55, Philadelphia, PA 19104-4319 | 2019-06-03 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.