PEDIATRIC PRACTICES OF NORTHEASTERN PA
NPI 1730162678
Clinic/Center - Rural Health in Honesdale, PA

Active since November 23, 2005
1837 FAIR AVE, HONESDALE, PA 18431(570) 253-5838(570) 253-1245 Get Directions Write a Review

NPPES record last updated: July 23, 2019. Verified against the NPPES registry weekly; last sync: August 02, 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 1730162678) is a healthcare organization registered as a rural health in Honesdale, Pennsylvania and active in the NPI registry since November 2005. The organization maintains 2 additional practice locations and lists Robert Morton, Partner, as its authorized official.

NPPES Registry Identity

NPI1730162678
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NamePEDIATRIC PRACTICES OF NORTHEASTERN PA
Location Address1837 FAIR AVEHonesdale, PA 18431-2121
Mailing Address1837 Fair AveHonesdale, PA 18431-2121 · (570) 253-5838 · Fax (570) 253-1245
Fax(570) 253-1245
Organization SubpartNo
Authorized OfficialRobert MortonPartner · (570) 253-5838
Enumeration DateNovember 23, 2005
Last NPPES UpdateJuly 23, 2019
NPI 1730162678 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
1837 FAIR AVE, Honesdale, PA 18431

Other Names 1

Doing Business AsPediatric Practices Of Northeastern Pa

Secondary Practice Locations 2

Location 127B Woodlands DrWaymart, PA 18472-9366 · Phone (570) 488-9550 · Fax (570) 488-9553
Location 262 Industrial Park RdLake Ariel, PA 18436-5606 · Phone (570) 689-7565 · Fax (570) 689-4803

Other Identifiers 4

Medicaid100742260015PA
Medicaid100742260016PA
Medicaid100742260018PA
Other39-3887PA · 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 7

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

Physician Assistant
1837 FAIR AVE
HONESDALE, PA 18431
Clinical Nurse Specialist (Pediatrics)
1837 FAIR AVE
HONESDALE, PA 18431
Physician Assistant
1837 FAIR AVE
HONESDALE, PA 18431
Pediatrics
1837 FAIR AVE
HONESDALE, PA 18431
Pediatrics
1837 FAIR AVE
HONESDALE, PA 18431
Clinic/Center (Federally Qualified Health Center (FQHC))
1837 FAIR AVE
HONESDALE, PA 18431
Community Health Worker
1837 FAIR AVE
HONESDALE, PA 18431

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 1730162678. It was assigned to this organization in the NPPES registry on November 23, 2005.

Where is Pediatric Practices Of Northeastern PA located?

Pediatric Practices Of Northeastern PA is located at 1837 Fair Ave, Honesdale, PA 18431. The listed phone number is (570) 253-5838.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.