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PEDIATRIC PRACTICES OF NORTHEASTERN PA
NPI 1578895538
Clinic/Center - Rural Health in Waymart, PA

Active since February 02, 2010
27B WOODLANDS DR, WAYMART, PA 18472(570) 448-9550(570) 488-9553 Get Directions Write a Review

NPPES record last updated: July 23, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pediatric Practices Of Northeastern Pa NPPES

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

PEDIATRIC PRACTICES OF NORTHEASTERN PA (NPI 1578895538) is a healthcare organization registered as a rural health in Waymart, Pennsylvania and active in the NPI registry since February 2010. The organization maintains a secondary practice location in Honesdale and lists Robert Morton, Partner, as its authorized official.

NPPES Registry Identity

NPI1578895538
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NamePEDIATRIC PRACTICES OF NORTHEASTERN PA
Location Address27B WOODLANDS DRWaymart, PA 18472-9366
Mailing Address1837 Fair AveHonesdale, PA 18431-2121 · (570) 488-9550 · Fax (570) 488-9553
Phone(570) 448-9550
Fax(570) 488-9553
Organization SubpartNo
Authorized OfficialRobert MortonPartner · (570) 253-5838
Enumeration DateFebruary 2, 2010
Last NPPES UpdateJuly 23, 2019
✔ NPI 1578895538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedPediatricsTaxonomy 208000000X
27B WOODLANDS DR, Waymart, PA 18472
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Other Names 1

Other NamePediatric Practices Of Northeastern Pa

Secondary Practice Location 1

Location 11837 Fair AveHonesdale, PA 18431-2121 · Phone (570) 253-5838 ext. 124 · Fax (570) 253-6678

Other Identifiers 2

Medicaid1007422260018PA
Other39-3906PA · Cms Certification Number

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

Other Providers at the Same Location NPPES

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

JESSICA GIANNETTI CRNP
Nurse Practitioner (Family)
27B WOODLANDS DR
WAYMART, PA 18472
Wayne County (570) 488-9550

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 Practices Of Northeastern PA's NPI number?

The NPI number for Pediatric Practices Of Northeastern PA is 1578895538. It was assigned to this organization in the NPPES registry on February 2, 2010.

Where is Pediatric Practices Of Northeastern PA located?

Pediatric Practices Of Northeastern PA is located at 27B Woodlands Dr, Waymart, PA 18472. The listed phone number is (570) 448-9550.

What is Pediatric Practices Of Northeastern PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for Pediatric Practices Of Northeastern PA was last updated on July 23, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.