STC PEDIATRICS LLC (NPI# 1598303133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598303133 |
Entity Type | Organization |
Organization Name | STC PEDIATRICS LLC |
Practice Address |
100 Kings Way E Sewell NJ 08080-2237 |
Mailing Address |
Po Box 13579 Reading PA 19612-3579 |
Practice Telephone | 2154275000 |
Enumeration Date | 2019-12-13 |
Last Update Date | 2019-12-13 |
Authorized Official Name | GARY CONNER (VP & CFO) |
Authorized Official Telephone | 4846288181 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080P0214X |
Pediatrics Specialization: Pediatric Pulmonology |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
St Christopher's Pediatric Associates Wash Pulmonary | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912516279 | Stc Pediatrics LLC | Pediatrics | 3601 A St Fl Family, Philadelphia, PA 19134-1043 | 2020-07-23 |
1932722881 | Stc Pediatrics LLC | Orthopaedic Surgery | 301 S 7th Ave Ste 3120, West Reading, PA 19611-1495 | 2020-05-27 |
1649806217 | Stc Pediatrics LLC | Pediatrics | 160 E Erie Ave Fl 3, Philadelphia, PA 19134-1011 | 2020-03-16 |
1033753439 | Stc Pediatrics LLC | Pediatrics | 500 York Rd Ste 250, Jenkintown, PA 19046-2870 | 2019-10-30 |
1861036279 | Stc Pediatrics LLC | Pediatrics | 300 E Hunting Park Ave, Philadelphia, PA 19124-6018 | 2019-10-30 |
1639713944 | Stc Pediatrics LLC | Pediatrics | 1201 Langhorne Newtown Rd Ste 401, Langhorne, PA 19047-1201 | 2019-10-30 |
1548804909 | Stc Pediatrics LLC | Psychiatry & Neurology | 100 Kings Way E Ste C, Sewell, NJ 08080-2238 | 2019-10-29 |
1962046474 | Stc Pediatrics LLC | Pediatrics | 301 Oxford Valley Rd Ste 1201, Yardley, PA 19067-7706 | 2019-10-29 |
1508466913 | Stc Pediatrics LLC | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2020-10-27 |
1548867476 | Stc Pediatrics LLC | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2020-10-05 |
Street Address |
100 KINGS WAY E |
City | SEWELL |
State | NJ |
Zip Code | 08080-2237 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669452025 | Peter Stephen Konchak | Obstetrics & Gynecology | 100 Kings Way E, Suite # B5, Sewell, NJ 08080-2237 | 2006-01-20 |
1952848905 | Kennedy Medical Group Practice PC | Family Medicine | 100 Kings Way E, Suite D2, Sewell, NJ 08080-2237 | 2017-01-30 |
1629513676 | Laura Massanova | Social Worker | 100 Kings Way E, Suite C-2, Sewell, NJ 08080-2237 | 2016-12-29 |
1013361955 | Tracey Gregory | Respiratory Therapist, Certified | 100 Kings Way E, Sewell, NJ 08080-2237 | 2016-04-18 |
1386003085 | Cornerstone Foot & Ankle | Podiatrist | 100 Kings Way E, Suite D6, Sewell, NJ 08080-2237 | 2016-02-23 |
1467823765 | New Jersey Podiatric Physicians & Surgeons Group, LLC | Podiatrist | 100 Kings Way E, Suite D6, Sewell, NJ 08080-2237 | 2015-10-13 |
1750778635 | Brenda Bartkovsky | Nurse Practitioner | 100 Kings Way E, Suite D2, Sewell, NJ 08080-2237 | 2015-04-19 |
1104240431 | Julaine Miller | Podiatrist | 100 Kings Way E, Suite D6, Sewell, NJ 08080-2237 | 2014-02-06 |
1659795144 | Josh Miller | Podiatrist | 100 Kings Way E, Suite D6, Sewell, NJ 08080-2237 | 2014-02-05 |
1487901633 | Frank Oware | Podiatrist | 100 Kings Way E, Suite D6, Sewell, NJ 08080-2237 | 2012-08-07 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679180301 | Peter Ansong | Pharmacist | 500 Egg Harbor Road, Sewell, NJ 08080 | 2020-09-27 |
1477018752 | Shi-iii Washington Township LLC | Alzheimer Center (Dementia Center) | 339 Greentree Road, Washington Township, NJ 08080 | 2019-01-31 |
1245741495 | Assoc. for Retarded Citizens. Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1 Fawn Drive, Sewell, NJ 08080 | 2017-10-16 |
1851802029 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 275 Greentree Road, Sewell, NJ 08080 | 2017-10-16 |
1598284770 | Bryan Hendricks | Psychologist | 123 Egg Harbor Rd., Suite 302, Sewell, NJ 08080 | 2017-09-19 |
1912426339 | Mary Faralli | Speech-Language Pathologist | 24 Upton Way, Sewell, NJ 08080 | 2017-09-18 |
1669990578 | Oaks Integrated Care | Clinic/Center | 322 Fishpond Rd, Sewell, NJ 08080 | 2017-08-31 |
1972032316 | Nutan K Ravani | Social Worker | 3 Heritage Valley Drive, Sewell, NJ 08080 | 2017-06-08 |
1447784038 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 224 West Warren Avenue, Sewell, NJ 08080 | 2017-04-20 |
1326572173 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 363 Ganttown Road, Turnersville, NJ 08080 | 2017-04-19 |
Find all providers in zip 08080 |
Taxonomy Code | 2080P0214X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Pulmonology |
A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques. |
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/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699061416 | Khalil William Savary | Pediatrics | 90 Bergen St Ste 5200, Newark, NJ 07103-2425 | 2011-06-20 |
1730328394 | Ashish C Shah | Pediatrics | 3086 State Route 27, Suite 10, Kendall Park, NJ 08824-1658 | 2009-02-05 |
1629241682 | Elsa J Roe | Pediatrics | 5 Barkman Way, Chester, NJ 07930-2222 | 2008-04-10 |
1407914633 | Nelson L. Turcios | Pediatrics | 579 Cranbury Rd Ste A, East Brunswick, NJ 08816-5405 | 2006-12-04 |
1316032998 | Steven Jay Kanengiser | Pediatrics | 505 Goffle Road, Ridgewood, NJ 07450 | 2006-10-03 |
1275642373 | William F Kottler | Pediatrics | 48 Essex St, Millburn, NJ 07041-1607 | 2006-08-30 |
1407860406 | Dorothy Stein Bisberg | Pediatrics | 375 Mount Pleasant Ave., Suite 105, West Orange, NJ 07052 | 2006-07-28 |
1699710137 | Maya Ramagopal | Pediatrics | 89 French Street, Suite 2218, New Brunswick, NJ 08903-0019 | 2006-06-18 |
1902875461 | Lourdes R Laraya Cuasay | Pediatrics | 67 Route 37 W, Riverwood II Bldg. 3rd Floor, Toms River, NJ 08755-6400 | 2006-03-16 |
1487644589 | Caitlin A Papastamelos | Pediatrics | 1304 Laurel Oak Rd, Voorhees, NJ 08043-4310 | 2005-10-28 |
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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.