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MEDIA PEDIATRICS
NPI 1720051444
Clinic/Center - Primary Care in Wallingford, PA

Active since February 12, 2006CLIA 39D1017903 · Waiver
401 MOORE RD, WALLINGFORD, PA 19086(610) 565-3336(484) 367-5938 Get Directions Write a Review

NPPES record last updated: January 11, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Media Pediatrics NPPES

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

MEDIA PEDIATRICS (NPI 1720051444) is a healthcare organization registered as a primary care in Wallingford, Pennsylvania and active in the NPI registry since February 2006. The organization holds a CLIA Waiver certificate valid through April 12, 2028 and lists June E. Elcock-messam, Pediatrician, as its authorized official.

NPPES Registry Identity

NPI1720051444
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameMEDIA PEDIATRICS
Location Address401 MOORE RDWallingford, PA 19086-7049
Mailing Address401 Moore RdWallingford, PA 19086-7049 · (610) 565-3336 · Fax (484) 361-5938
Phone(610) 565-3336
Fax(484) 367-5938
Organization SubpartNo
Authorized OfficialJune E. Elcock-messamPediatrician · (610) 565-3336
Enumeration DateFebruary 12, 2006
Last NPPES UpdateJanuary 11, 2016
✔ NPI 1720051444 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 PA · MD-071892-L
401 MOORE RD, Wallingford, PA 19086
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINH24667PA

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 39D1017903

Media Pediatrics, PC · Wallingford, PA
Active · expires Apr 12, 2028
CLIA Number39D1017903
Laboratory TypePhysician Office
Certificate Effective DateApril 13, 2026
Certificate Expiration DateApril 12, 2028
Laboratory DirectorDr. June E. Elcock-Messam
Laboratory Phone(610) 565-3336
Laboratory LocationMedia Pediatrics, PC401 Moore Road, Wallingford, PA 19086
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

JUNE E. ELCOCK-MESSAM M.D.
Clinic/Center (Primary Care)
401 MOORE RD
WALLINGFORD, PA 19086
Delaware County (610) 565-3336

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 Media Pediatrics's NPI number?

The NPI number for Media Pediatrics is 1720051444. It was assigned to this organization in the NPPES registry on February 12, 2006.

Where is Media Pediatrics located?

Media Pediatrics is located at 401 Moore Rd, Wallingford, PA 19086. The listed phone number is (610) 565-3336.

What is Media Pediatrics's specialty?

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

Does Media Pediatrics hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D1017903) is associated with this NPI, valid through April 12, 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 Media Pediatrics was last updated on January 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.