DR. MONIQUE ANNE MASLAK GARDNER MD
NPI 1689968778
Pediatrics - Pediatric Critical Care Medicine in Philadelphia, PA

Q: What is Monique Anne Gardner's NPI number?

The NPI number for Monique Anne Gardner is 1689968778. It was assigned to this individual provider in the NPPES registry on June 6, 2011.

Q: What is Monique Anne Gardner's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Active since June 06, 2011PECOS Enrolled

3401 CIVIC CENTER BLVD STE 9329, PHILADELPHIA, PA 19104(215) 590-1858(215) 590-1415 Get Directions Write a Review

NPPES record last updated: October 17, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 17, 2019, Jul 5, 2017 (2 updates tracked since 2017).

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About Dr. Monique Anne Maslak Gardner Md NPPES

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

DR. MONIQUE ANNE MASLAK GARDNER MD (NPI 1689968778) is an individual pediatric critical care medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD451058) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689968778

Entity TypeIndividualFemale

Primary Taxonomy2080P0203X

Provider Legal NameDR. MONIQUE ANNE MASLAK GARDNERCredential: MD

Location Address3401 CIVIC CENTER BLVD STE 9329Philadelphia, PA 19104-4319

Mailing Address100 Penn Square East, 9th Floor North-caaPhiladelphia, PA 19107-3323 · (267) 425-9309 · Fax (267) 425-9331

Phone(215) 590-1858

Fax(215) 590-1415

Sole ProprietorNo

Enumeration DateJune 6, 2011

Last NPPES UpdateOctober 17, 20192 updates tracked since enumeration

✔ NPI 1689968778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in PA · MD451058

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Also ListedPediatricsTaxonomy 208000000X · License MT199024 (PA)

Also ListedPediatrics · Pediatric CardiologyTaxonomy 2080P0202X · License MT199024 (PA)

3401 CIVIC CENTER BLVD STE 9329, Philadelphia, PA 19104

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Highmark Blue Cross Blue Shield Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Monique Anne Maslak Gardner Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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Other Providers at the Same Location NPPES 20

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

RAJEEV SUBRAMANYAM IYER M.D.

Anesthesiology (Pediatric Anesthesiology)