KIDS AND TEENS PEDIATRICS OF DOVER
NPI 1467855254
Pediatrics in Dover, DE

Active since October 07, 2014CLIA 08D2088616 · Waiver
125 GREENTREE DR STE 1, DOVER, DE 19904(302) 264-9386 Get Directions Write a Review

NPPES record last updated: May 22, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kids And Teens Pediatrics Of Dover NPPES

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

KIDS AND TEENS PEDIATRICS OF DOVER (NPI 1467855254) is a healthcare organization registered as a pediatrics in Dover, Delaware and active in the NPI registry since October 2014. The organization holds a CLIA Waiver certificate valid through December 15, 2026 and lists Alexander James Funderburk, Administrative Assistant, as its authorized official.

NPPES Registry Identity

NPI1467855254
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameKIDS AND TEENS PEDIATRICS OF DOVER
Location Address125 GREENTREE DR STE 1Dover, DE 19904-7656
Mailing Address125 Greentree Dr Ste 1Dover, DE 19904-7656 · (302) 264-9386
Organization SubpartNo
Authorized OfficialAlexander James FunderburkAdministrative Assistant · (302) 264-9386
Enumeration DateOctober 7, 2014
Last NPPES UpdateMay 22, 2024
NPPES CertifiedMay 22, 2024
NPI 1467855254 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.
125 GREENTREE DR STE 1, Dover, DE 19904

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

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 08D2088616

Kids And Teens Pediatrics Of Dover · Dover, DE
Active · expires Dec 15, 2026
CLIA Number08D2088616
Laboratory TypePractitioner Other
Certificate Effective DateDecember 16, 2024
Certificate Expiration DateDecember 15, 2026
Laboratory DirectorDr. Osama A. Hussein
Laboratory Phone(302) 264-9386
Laboratory LocationKids And Teens Pediatrics Of Dover125 Greentree Drive, Suite 1, Dover, DE 19904
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 2

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

Nurse Practitioner (Family)
125 GREENTREE DR STE 1
DOVER, DE 19904
Pediatrics
125 GREENTREE DR STE 1
DOVER, DE 19904

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 Kids And Teens Pediatrics Of Dover's NPI number?

The NPI number for Kids And Teens Pediatrics Of Dover is 1467855254. It was assigned to this organization in the NPPES registry on October 7, 2014.

Where is Kids And Teens Pediatrics Of Dover located?

Kids And Teens Pediatrics Of Dover is located at 125 Greentree Dr Ste 1, Dover, DE 19904. The listed phone number is (302) 264-9386.

What is Kids And Teens Pediatrics Of Dover's specialty?

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

Does Kids And Teens Pediatrics Of Dover hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 08D2088616) is associated with this NPI, valid through December 15, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kids And Teens Pediatrics Of Dover accept?

Health plans from Highmark Blue Cross Blue Shield Delaware list Kids And Teens Pediatrics Of Dover as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kids And Teens Pediatrics Of Dover was last updated on May 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.