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PEDIATRIC ASSOCIATES OF WATERTOWN P.C.
NPI 1497855670
Pediatrics in Watertown, NY

Active since September 25, 2006CLIA 33D0167559 · Waiver
18969 US ROUTE 11, WATERTOWN, NY 13601(315) 782-4391(315) 788-8319 Get Directions Write a Review

NPPES record last updated: February 20, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pediatric Associates Of Watertown P.c. NPPES

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

PEDIATRIC ASSOCIATES OF WATERTOWN P.C. (NPI 1497855670) is a healthcare organization registered as a pediatrics in Watertown, New York and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through April 10, 2028 and lists Mario F. Victoria, President, as its authorized official.

NPPES Registry Identity

NPI1497855670
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePEDIATRIC ASSOCIATES OF WATERTOWN P.C.
Location Address18969 US ROUTE 11Watertown, NY 13601-5320
Mailing AddressPo Box 6600Watertown, NY 13601-6600 · (315) 782-4391 · Fax (315) 788-8319
Phone(315) 782-4391
Fax(315) 788-8319
Organization SubpartNo
Authorized OfficialMario F. VictoriaPresident · (315) 782-4391
Enumeration DateSeptember 25, 2006
Last NPPES UpdateFebruary 20, 2012
✔ NPI 1497855670 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.
18969 US ROUTE 11, Watertown, NY 13601
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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 33D0167559

Pediatric Associates Of Watertown PC · Watertown, NY
Active · expires Apr 10, 2028
CLIA Number33D0167559
Laboratory TypePhysician Office
Certificate Effective DateApril 11, 2026
Certificate Expiration DateApril 10, 2028
Laboratory DirectorDr. Stephanie Oliva
Laboratory Phone(315) 782-4391
Laboratory LocationPediatric Associates Of Watertown PC20011 Summit View Boulevard, Watertown, NY 13601
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 7

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

JAMIE MILLER
Physician Assistant
18969 US ROUTE 11
WATERTOWN, NY 13601
Jefferson County (315) 782-4391
TIMOTHY PAUL COOK PH.D.
Psychologist (Clinical Child & Adolescent)
18969 US ROUTE 11
WATERTOWN, NY 13601
Jefferson County (315) 782-4391
DR. KRISTA KRULL-GOSS
Pharmacist
18969 US ROUTE 11
WATERTOWN, NY 13601
Jefferson County (315) 782-1992
DR. STEPHANIE ANN OLIVA M.D.
Pediatrics
18969 US ROUTE 11, PEDIATRIC ASSOCIATES OF WATERTOWN
WATERTOWN, NY 13601
Jefferson County (315) 782-4391
MR. BRADD J BEIMFORD RPH
Pharmacist
18969 US ROUTE 11
WATERTOWN, NY 13601
Jefferson County (315) 782-1992
DR. MARIO FRANCISCO VICTORIA M.D.
Pediatrics
18969 US ROUTE 11, 5699 OUTER WASHINGTON STREET
WATERTOWN, NY 13601
Jefferson County (315) 782-4391
MISS ALEXANDRA DAVIES R.P.A.
Physician Assistant
18969 US ROUTE 11
WATERTOWN, NY 13601
Jefferson County (315) 782-4391

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 Pediatric Associates Of Watertown P.C.'s NPI number?

The NPI number for Pediatric Associates Of Watertown P.C. is 1497855670. It was assigned to this organization in the NPPES registry on September 25, 2006.

Where is Pediatric Associates Of Watertown P.C. located?

Pediatric Associates Of Watertown P.C. is located at 18969 Us Route 11, Watertown, NY 13601. The listed phone number is (315) 782-4391.

What is Pediatric Associates Of Watertown P.C.'s specialty?

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

Does Pediatric Associates Of Watertown P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0167559) is associated with this NPI, valid through April 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pediatric Associates Of Watertown P.C. was last updated on February 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.