GATEWAY PEDIATRICS, LLC - NPI 1427284595 - Pediatrics in Salisbury, MD

Q: What is Gateway Pediatrics, LLC's NPI number?

The NPI number for Gateway Pediatrics, LLC is 1427284595. It was assigned to this organization in the NPPES registry on June 3, 2009. The provider was formerly known as Gateway Pediatrics, PA.

Q: What is Gateway Pediatrics, LLC's specialty?

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

On this page

About Gateway Pediatrics, Llc NPPES

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

GATEWAY PEDIATRICS, LLC (NPI 1427284595), doing business as Gateway Pediatrics, Pa, is a healthcare organization registered as a pediatrics in Salisbury, Maryland and active in the NPI registry since June 2009. The organization holds a CLIA Waiver certificate valid through September 22, 2027 and lists Melissa J Graves, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1427284595

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameGATEWAY PEDIATRICS, LLC

Location Address1415 WESLEY DRSalisbury, MD 21801-7130

Mailing Address1415 Wesley DrSalisbury, MD 21801-7130 · (410) 912-7000 · Fax (410) 912-4202

Phone(410) 912-7000

Fax(410) 912-4202

Organization SubpartNo

Authorized OfficialMelissa J GravesOffice Manager · (410) 912-7000

Enumeration DateJune 3, 2009

Last NPPES UpdateSeptember 30, 2022

NPPES CertifiedSeptember 30, 2022

✔ NPI 1427284595 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.

1415 WESLEY DR, Salisbury, MD 21801

Open in Google Maps ↗

Other Names 1

Former Legal Business NameGateway Pediatrics, Pa

Other Identifiers 1

Medicaid2100215P0001MD

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 Highmark Blue Cross Blue Shield Delaware.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 Waiver 21D1105389

Gateway Pediatrics PA · Salisbury, MD

Active · expires Sep 22, 2027

CLIA Number21D1105389

Laboratory TypePhysician Office

Certificate Effective DateSeptember 23, 2025

Certificate Expiration DateSeptember 22, 2027

Laboratory DirectorJennifer L. Wehberg

Laboratory Phone(410) 912-7000

Laboratory LocationGateway Pediatrics PA1415 Wesley Dr, Salisbury, MD 21801

CLIA data matches this NPI record on: Address Name Phone

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

Other Providers at the Same Location NPPES 10

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

JENNIFER LYNN WEHBERG M.D.

Pediatrics