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RIVERDALE PARK PEDIATRICS PC
NPI 1427887173
Pediatrics - Adolescent Medicine in Glen Burnie, MD

Active since July 31, 2024CLIA 21D0916333 · Waiver
202 HOSPITAL DR, GLEN BURNIE, MD 21061(410) 768-8525 Get Directions Write a Review

NPPES record last updated: April 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Riverdale Park Pediatrics Pc NPPES

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

RIVERDALE PARK PEDIATRICS PC (NPI 1427887173) is a healthcare organization registered as an adolescent medicine in Glen Burnie, Maryland and active in the NPI registry since July 2024. The organization holds a CLIA Waiver certificate valid through January 31, 2027 and lists Edwin F Aguilar Lopez, President, as its authorized official.

NPPES Registry Identity

NPI1427887173
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NameRIVERDALE PARK PEDIATRICS PC
Location Address202 HOSPITAL DRGlen Burnie, MD 21061-5802
Mailing Address202 Hospital DrGlen Burnie, MD 21061-5802 · (410) 768-8525
Phone(410) 768-8525
Organization SubpartYesParent: Riverdale Park Pediatrics Pc At Glen Burnie
Authorized OfficialEdwin F Aguilar LopezPresident · (914) 316-7066
Enumeration DateJuly 31, 2024
Last NPPES UpdateApril 21, 2025
NPPES CertifiedApril 21, 2025
✔ NPI 1427887173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
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.
202 HOSPITAL DR, Glen Burnie, MD 21061
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Other Names 2

Doing Business AsRiverdale Park Pediatrics Pc
Doing Business AsRiverdale Park Pediatrics Pc At Glen Burnie

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 21D0916333

Riverdale Park Pediatrics- Glen Burnie · Glen Burnie, MD
Active · expires Jan 31, 2027
CLIA Number21D0916333
Laboratory TypePhysician Office
Certificate Effective DateFebruary 1, 2025
Certificate Expiration DateJanuary 31, 2027
Laboratory DirectorDr. Edwin F. Aguilar
Laboratory Phone(410) 768-8525
Laboratory LocationRiverdale Park Pediatrics- Glen Burnie202 Hospital Drive, Glen Burnie, MD 21061
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 3

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

GATDULA & GATULA M.D., P.A.
Specialist
202 HOSPITAL DR
GLEN BURNIE, MD 21061
Anne Arundel County (410) 760-2311
DR. CRISTETA LORICA GATDULA M.D.
Pediatrics
202 HOSPITAL DR
GLEN BURNIE, MD 21061
Anne Arundel County (410) 760-2311
MICHELLE RICHWINE CRNP
Nurse Practitioner (Family)
202 HOSPITAL DR
GLEN BURNIE, MD 21061
Anne Arundel County (410) 768-8525

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 Riverdale Park Pediatrics PC's NPI number?

The NPI number for Riverdale Park Pediatrics PC is 1427887173. It was assigned to this organization in the NPPES registry on July 31, 2024. The provider is doing business as Riverdale Park Pediatrics PC at Glen Burnie.

Where is Riverdale Park Pediatrics PC located?

Riverdale Park Pediatrics PC is located at 202 Hospital Dr, Glen Burnie, MD 21061. The listed phone number is (410) 768-8525.

What is Riverdale Park Pediatrics PC's specialty?

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

Does Riverdale Park Pediatrics PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D0916333) is associated with this NPI, valid through January 31, 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 Riverdale Park Pediatrics PC was last updated on April 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.