CHILDREN'S COMMUNITY PEDIATRICS
NPI 1063429678
Pediatrics in Moon Township, PA

Q: What is Childen's Community Care's NPI number?

The NPI number for Childen's Community Care is 1063429678. It was assigned to this organization in the NPPES registry on August 3, 2006. The provider is doing business as Children's Community Pediatrics.

Q: What is Childen's Community Care's specialty?

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

Active since August 03, 2006CLIA 39D0693920 · Waiver

1600 CORAOPOLIS HEIGHTS RD STE E, MOON TOWNSHIP, PA 15108(412) 262-2415(412) 262-1537 Get Directions Write a Review

NPPES record last updated: September 11, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Children's Community Pediatrics NPPES

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

CHILDREN'S COMMUNITY PEDIATRICS (NPI 1063429678) is a healthcare organization registered as a pediatrics in Moon Township, Pennsylvania and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through June 15, 2027 and lists Lori Martinez, Executive Administrator Iii, as its authorized official.

NPPES Registry Identity

NPI1063429678

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameCHILDEN'S COMMUNITY CARE

Location Address1600 CORAOPOLIS HEIGHTS RD STE EMoon Township, PA 15108-4316

Mailing Address103 Bradford Rd Ste 200Wexford, PA 15090-6910 · (724) 933-1100

Phone(412) 262-2415

Fax(412) 262-1537

Organization SubpartNo

Authorized OfficialLori MartinezExecutive Administrator Iii · (724) 933-1100

Enumeration DateAugust 3, 2006

Last NPPES UpdateSeptember 11, 2023

NPPES CertifiedSeptember 11, 2023

✔ NPI 1063429678 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.

1600 CORAOPOLIS HEIGHTS RD STE E, Moon Township, PA 15108

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Other Names 1

Doing Business AsChildren's Community Pediatrics

Other Identifiers 1

Other000101483PA · Highmark Id#

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

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 Waiver 39D0693920

Children's Community Care - Moon · Moon Township, PA

Active · expires Jun 15, 2027

CLIA Number39D0693920

Laboratory TypePhysician Office

Certificate Effective DateJune 16, 2025

Certificate Expiration DateJune 15, 2027

Laboratory DirectorDr. Bradley R. Kramer

Laboratory Phone(412) 262-2503

Laboratory LocationChildren's Community Care - Moon1600 Coraopolis Heights Road Ste E, Moon Township, PA 15108

CLIA data matches this NPI record on: Address

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARY PAGNOTTO MD

Pediatrics