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PRIME PEDIATRICS, LLC
NPI 1316286032
Pediatrics - Adolescent Medicine in Gaithersburg, MD

Active since February 01, 2013CLIA 21D0212907 · Waiver
845 QUINCE ORCHARD BLVD STE B, GAITHERSBURG, MD 20878(301) 977-2440(301) 977-4752 Get Directions Write a Review

NPPES record last updated: February 1, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Prime Pediatrics, Llc NPPES

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

PRIME PEDIATRICS, LLC (NPI 1316286032) is a healthcare organization registered as an adolescent medicine in Gaithersburg, Maryland and active in the NPI registry since February 2013. The organization holds a CLIA Waiver certificate valid through March 7, 2027 and lists Farnoush Jamali, Owner, as its authorized official.

NPPES Registry Identity

NPI1316286032
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NamePRIME PEDIATRICS, LLC
Location Address845 QUINCE ORCHARD BLVD STE BGaithersburg, MD 20878-1676
Mailing Address845 Quince Orchard Blvd Ste BGaithersburg, MD 20878-1676 · (301) 977-2440 · Fax (301) 977-4752
Phone(301) 977-2440
Fax(301) 977-4752
Organization SubpartNo
Authorized OfficialFarnoush JamaliOwner · (301) 977-2440
Enumeration DateFebruary 1, 2013
✔ NPI 1316286032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in MD · D0058375
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
845 QUINCE ORCHARD BLVD STE B, Gaithersburg, MD 20878
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Other Identifiers 1

Medicaid0400041 00MD

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 21D0212907

Prime Pediatrics, LLC · Gaithersburg, MD
Active · expires Mar 7, 2027
CLIA Number21D0212907
Laboratory TypePhysician Office
Certificate Effective DateMarch 8, 2025
Certificate Expiration DateMarch 7, 2027
Laboratory DirectorFarnoush Jamali
Laboratory Phone(301) 977-2440
Laboratory LocationPrime Pediatrics, LLC845-B Quince Orchard Blvd, Gaithersburg, MD 20878
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

JESSICA ANNE VOSSLER PA-C
Physician Assistant
845 QUINCE ORCHARD BLVD STE B
GAITHERSBURG, MD 20878
Montgomery County (301) 977-2440
DR. FARNOUSH JAMALI M.D.
Pediatrics
845 QUINCE ORCHARD BLVD STE B
GAITHERSBURG, MD 20878
Montgomery County (301) 977-2440
A PLUS PEDIATRICS LLC
Pediatrics
845 QUINCE ORCHARD BLVD STE B
GAITHERSBURG, MD 20878
Montgomery County (301) 977-2440

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 Prime Pediatrics, LLC's NPI number?

The NPI number for Prime Pediatrics, LLC is 1316286032. It was assigned to this organization in the NPPES registry on February 1, 2013.

Where is Prime Pediatrics, LLC located?

Prime Pediatrics, LLC is located at 845 Quince Orchard Blvd Ste B, Gaithersburg, MD 20878. The listed phone number is (301) 977-2440.

What is Prime Pediatrics, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Does Prime Pediatrics, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D0212907) is associated with this NPI, valid through March 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Prime Pediatrics, LLC was last updated on February 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.