EDGEWATER PEDIATRICS
NPI 1497026793
Pediatrics in Orlando, FL

Active since January 18, 2012CLIA 10D0925396 · Waiver
4804 EDGEWATER DR STE B, ORLANDO, FL 32804(407) 290-3344(877) 767-4236 Get Directions Write a Review

NPPES record last updated: July 24, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Edgewater Pediatrics NPPES

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

EDGEWATER PEDIATRICS (NPI 1497026793) is a healthcare organization registered as a pediatrics in Orlando, Florida and active in the NPI registry since January 2012. The organization holds a CLIA Waiver certificate valid through February 25, 2027 and lists Ted Adam Kaplan, Physician, as its authorized official.

NPPES Registry Identity

NPI1497026793
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePRINCETON PEDIATRICS, PA
Location Address4804 EDGEWATER DR STE BOrlando, FL 32804-1126
Mailing Address4804 Edgewater Dr Ste BOrlando, FL 32804-1126 · (407) 290-3344 · Fax (877) 767-4236
Fax(877) 767-4236
Organization SubpartNo
Authorized OfficialTed Adam KaplanPhysician · (407) 290-3344
Enumeration DateJanuary 18, 2012
Last NPPES UpdateJuly 24, 2024
NPPES CertifiedJuly 24, 2024
NPI 1497026793 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.
4804 EDGEWATER DR STE B, Orlando, FL 32804

Other Names 1

Doing Business AsEdgewater Pediatrics

Other Identifiers 2

Medicaid123233500FL
Other804240FL · Blue Cross Blue Sheild

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 10D0925396

Princeton Pediatrics · Orlando, FL
Active · expires Feb 25, 2027
CLIA Number10D0925396
Laboratory TypePhysician Office
Certificate Effective DateFebruary 26, 2025
Certificate Expiration DateFebruary 25, 2027
Laboratory DirectorTed L. Kaplan
Laboratory Phone(407) 290-3344
Laboratory LocationPrinceton Pediatrics4804 Edgewater Dr Ste B, Orlando, FL 32804
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

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

Pediatrics
4804 EDGEWATER DR STE B
ORLANDO, FL 32804

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 Princeton Pediatrics, PA's NPI number?

The NPI number for Princeton Pediatrics, PA is 1497026793. It was assigned to this organization in the NPPES registry on January 18, 2012. The provider is doing business as Edgewater Pediatrics.

Where is Princeton Pediatrics, PA located?

Princeton Pediatrics, PA is located at 4804 Edgewater Dr Ste B, Orlando, FL 32804. The listed phone number is (407) 290-3344.

What is Princeton Pediatrics, PA's specialty?

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

Does Princeton Pediatrics, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0925396) is associated with this NPI, valid through February 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Princeton Pediatrics, PA accept?

Health plans from Wellpoint list Princeton Pediatrics, PA 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 Princeton Pediatrics, PA was last updated on July 24, 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.