PEDIATRIC & ADOLESCENT MEDICAL ASSOC PC
NPI 1629169834
Pediatrics in Rome, NY

Q: What is Pediatric & Adolescent Medical Assoc PC's specialty?

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

Active since September 27, 2006

117 W LIBERTY STREET, ROME, NY 13440(315) 339-0401(315) 339-2957 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Pediatric & Adolescent Medical Assoc Pc NPPES

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

PEDIATRIC & ADOLESCENT MEDICAL ASSOC PC (NPI 1629169834) is a healthcare organization registered as a pediatrics in Rome, New York and active in the NPI registry since September 2006. The organization lists Diane M Hardish, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1629169834

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NamePEDIATRIC & ADOLESCENT MEDICAL ASSOC PC

Location Address117 W LIBERTY STREETRome, NY 13440

Mailing Address117 W Liberty StreetRome, NY 13440 · (315) 339-0401 · Fax (315) 339-2957

Phone(315) 339-0401

Fax(315) 339-2957

Organization SubpartNo

Authorized OfficialDiane M HardishBusiness Manager · (315) 339-0401

Enumeration DateSeptember 27, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1629169834 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.

117 W LIBERTY STREET, Rome, NY 13440

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Other Identifiers 1

Medicaid00606597NY

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.

MRS. GLENDA L JACKSON NP

Pediatrics

117 W LIBERTY STREET
ROME, NY 13440

Oneida County (315) 339-0401

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 & Adolescent Medical Assoc PC's NPI number?

The NPI number for Pediatric & Adolescent Medical Assoc PC is 1629169834. It was assigned to this organization in the NPPES registry on September 27, 2006.

Where is Pediatric & Adolescent Medical Assoc PC located?

Pediatric & Adolescent Medical Assoc PC is located at 117 W Liberty Street, Rome, NY 13440. The listed phone number is (315) 339-0401.

What is Pediatric & Adolescent Medical Assoc PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Pediatric & Adolescent Medical Assoc PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.