THE VILLAGE PEDIATRIC & WELLNESS CENTER
NPI 1174949358
Clinic/Center - Primary Care in Rockville, MD

Active since March 11, 2014
50 W EDMONSTON DR STE 502, ROCKVILLE, MD 20852(301) 637-3005(866) 890-7221 Get Directions Write a Review

NPPES record last updated: March 11, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About The Village Pediatric & Wellness Center NPPES

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

THE VILLAGE PEDIATRIC & WELLNESS CENTER (NPI 1174949358) is a healthcare organization registered as a primary care in Rockville, Maryland and active in the NPI registry since March 2014. The organization lists Monica Del Carmen Pourrat, Doctor, as its authorized official.

NPPES Registry Identity

NPI1174949358
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameTHE VILLAGE PEDIATRIC & WELLNESS CENTER
Location Address50 W EDMONSTON DR STE 502Rockville, MD 20852-1222
Mailing Address50 W Edmonston Dr Ste 502Rockville, MD 20852-1222 · (301) 637-3005 · Fax (866) 890-7221
Fax(866) 890-7221
Organization SubpartNo
Authorized OfficialMonica Del Carmen PourratDoctor · (301) 637-3005
Enumeration DateMarch 11, 2014
NPI 1174949358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in MD · D0062518
50 W EDMONSTON DR STE 502, Rockville, MD 20852

Other Identifiers 1

Medicaid10234246MD

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 21D2088072

The Village Pediatric And Wellness Center · Rockville, MD
Active · expires Dec 9, 2026
CLIA Number21D2088072
Laboratory TypePractitioner Other
Certificate Effective DateDecember 10, 2024
Certificate Expiration DateDecember 9, 2026
Laboratory DirectorDr. Monica Del Carmen Pourrat
Laboratory Phone(301) 984-0040
Laboratory LocationThe Village Pediatric And Wellness Center121 Congressional Lane #510, Rockville, MD 20852
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

Clinic/Center (Mental Health (Including Community Mental Health Center))
50 W EDMONSTON DR STE 502
ROCKVILLE, MD 20852
Nurse Practitioner (Pediatrics)
50 W EDMONSTON DR STE 502
ROCKVILLE, MD 20852
Nurse Practitioner (Family)
50 W EDMONSTON DR STE 502
ROCKVILLE, MD 20852
Nurse Practitioner (Pediatrics)
50 W EDMONSTON DR STE 502
ROCKVILLE, MD 20852

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174949358, enumerated as an "organization" on March 11, 2014.

The provider is located at 50 W EDMONSTON DR STE 502 ROCKVILLE, MD 20852 and the phone number is (301) 637-3005.

Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.