PRINCE WILLIAM PEDIATRICS AND ADOLESCENT CENTER
NPI 1689965865
Clinic/Center - Primary Care in Woodbridge, VA

Q: What is Prince William Pediatrics And Adolescent Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Active since April 22, 2011

12722 DIRECTORS LOOP, WOODBRIDGE, VA 22192(703) 492-1400(703) 492-0220 Get Directions Write a Review

NPPES record last updated: April 22, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Prince William Pediatrics And Adolescent Center NPPES

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

PRINCE WILLIAM PEDIATRICS AND ADOLESCENT CENTER (NPI 1689965865) is a healthcare organization registered as a primary care in Woodbridge, Virginia and active in the NPI registry since April 2011. The organization lists Ali Jadidi, Director, as its authorized official.

NPPES Registry Identity

NPI1689965865

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NamePRINCE WILLIAM PEDIATRICS AND ADOLESCENT CENTER

Location Address12722 DIRECTORS LOOPWoodbridge, VA 22192-2462

Mailing Address12722 Directors LoopWoodbridge, VA 22192-2462 · (703) 492-1400 · Fax (703) 492-0220

Phone(703) 492-1400

Fax(703) 492-0220

Organization SubpartNo

Authorized OfficialAli JadidiDirector · (703) 492-1400

Enumeration DateApril 22, 2011

✔ NPI 1689965865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

License✔ Licensed in VA · 0101230761

12722 DIRECTORS LOOP, Woodbridge, VA 22192

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Other Identifiers 2

Medicaid1154567352VA

Medicaid1013010180VA

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.

MS. FLOR I LOPEZ FNP

Nurse Practitioner (Family)

12722 DIRECTORS LOOP
WOODBRIDGE, VA 22192

Prince William County (703) 492-1400

CAITLIN ELISE MCKEARNEY PNP

Nurse Practitioner (Pediatrics)

12722 DIRECTORS LOOP
WOODBRIDGE, VA 22192

Prince William County (703) 492-1400

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 Prince William Pediatrics And Adolescent Center's NPI number?

The NPI number for Prince William Pediatrics And Adolescent Center is 1689965865. It was assigned to this organization in the NPPES registry on April 22, 2011.

Where is Prince William Pediatrics And Adolescent Center located?

Prince William Pediatrics And Adolescent Center is located at 12722 Directors Loop, Woodbridge, VA 22192. The listed phone number is (703) 492-1400.

What is Prince William Pediatrics And Adolescent Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Prince William Pediatrics And Adolescent Center was last updated on April 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.