DELAWARE PEDIATRIC ASSOCIATES - NPI 1255604583

Q: What is Delaware Pediatric Associates's NPI number?

The NPI number for Delaware Pediatric Associates is 1255604583. It was assigned to this organization in the NPPES registry on February 16, 2012.

Q: What is Delaware Pediatric Associates's specialty?

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

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About Delaware Pediatric Associates NPPES

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

DELAWARE PEDIATRIC ASSOCIATES (NPI 1255604583) is a healthcare organization registered as a pediatrics in Buffalo, New York and active in the NPI registry since February 2012. The organization holds a CLIA Waiver certificate valid through January 29, 2028 and lists Thomas Edge Schenk, Partner, as its authorized official.

NPPES Registry Identity

NPI1255604583

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameDELAWARE PEDIATRIC ASSOCIATES

Location Address2550 DELAWARE AVEBuffalo, NY 14216-1721

Mailing Address2550 Delaware AveBuffalo, NY 14216-1721 · (716) 884-0230

Phone(716) 884-0230

Organization SubpartNo

Authorized OfficialThomas Edge SchenkPartner · (716) 884-0230

Enumeration DateFebruary 16, 2012

✔ NPI 1255604583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in NY · 101753

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.

2550 DELAWARE AVE, Buffalo, NY 14216

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Other Identifiers 7

Medicaid03357173NY

Medicaid02952789NY

Medicaid00652882NY

Medicaid01029556NY

Medicaid00963722NY

Medicaid02161773NY

Medicaid01398705NY

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 33D0169998

Delaware Pediatrics, LLP · Buffalo, NY

Active · expires Jan 29, 2028

CLIA Number33D0169998

Laboratory TypePhysician Office

Certificate Effective DateJanuary 30, 2026

Certificate Expiration DateJanuary 29, 2028

Laboratory DirectorDr. Joyce Zmuda

Laboratory Phone(716) 884-0230

Laboratory LocationDelaware Pediatrics, LLP2550 Delaware Avenue, Buffalo, NY 14209

CLIA data matches this NPI record on: Address Phone

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.

MRS. SHANNON MARIE BENTLEY FNP-BC

Nurse Practitioner