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PEDIATRIC ASSOCIATES PSN LLC
NPI 1033162607
Pediatrics in Lauderdale Lakes, FL

Active since May 18, 2006CLIA 10D0913690 · Certificate of Compliance
4620 N ST RD 7, SUITE 316, LAUDERDALE LAKES, FL 33319(954) 967-6400(954) 965-7339 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Pediatric Associates Psn Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEDIATRIC ASSOCIATES PSN LLC (NPI 1033162607) is a healthcare organization registered as a pediatrics in Lauderdale Lakes, Florida and active in the NPI registry since May 2006. The organization holds a CLIA Certificate of Compliance certificate valid through November 27, 2026 and lists Philip A Levin, Ceo, as its authorized official.

NPPES Registry Identity

NPI1033162607
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePEDIATRIC ASSOCIATES PSN LLC
Location Address4620 N ST RD 7, SUITE 316Lauderdale Lakes, FL 33319
Mailing Address4620 N St Rd 7, Suite 316Lauderdale Lakes, FL 33319 · (954) 967-6400 · Fax (954) 965-7339
Phone(954) 967-6400
Fax(954) 965-7339
Organization SubpartNo
Authorized OfficialPhilip A LevinCeo · (954) 965-7332
Enumeration DateMay 18, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1033162607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
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.
4620 N ST RD 7, Lauderdale Lakes, FL 33319
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 10D0913690

Pediatric Associates Inc · Lauderdale Lakes, FL
Active · expires Nov 27, 2026
CLIA Number10D0913690
Laboratory TypePhysician Office
Certificate Effective DateNovember 28, 2024
Certificate Expiration DateNovember 27, 2026
Laboratory DirectorGeorge Beveridge
Laboratory Phone(954) 965-7754
Laboratory LocationPediatric Associates Inc4400 N State Rd 7, Lauderdale Lakes, FL 33319
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pediatric Associates Psn LLC's NPI number?

The NPI number for Pediatric Associates Psn LLC is 1033162607. It was assigned to this organization in the NPPES registry on May 18, 2006.

Where is Pediatric Associates Psn LLC located?

Pediatric Associates Psn LLC is located at 4620 N St Rd 7 Suite 316, Lauderdale Lakes, FL 33319. The listed phone number is (954) 967-6400.

What is Pediatric Associates Psn LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Pediatric Associates Psn LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 10D0913690) is associated with this NPI, valid through November 27, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pediatric Associates Psn LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Pediatric Associates Psn LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pediatric Associates Psn LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.