PEDS 360 PLUS CORP
NPI 1730940263
Pediatrics in Jenkintown, PA

Active since January 22, 2024
361 HIGHLAND AVE STE 206, JENKINTOWN, PA 19046(267) 594-8734(215) 886-2136 Get Directions Write a Review

NPPES record last updated: January 22, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Peds 360 Plus Corp NPPES

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

PEDS 360 PLUS CORP (NPI 1730940263) is a healthcare organization registered as a pediatrics in Jenkintown, Pennsylvania and active in the NPI registry since January 2024. The organization lists Nichelle Adegbite-maraventano, Owner, as its authorized official.

NPPES Registry Identity

NPI1730940263
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePEDS 360 PLUS CORP
Location Address361 HIGHLAND AVE STE 206Jenkintown, PA 19046-2632
Mailing Address361 Highland Ave Ste 206Jenkintown, PA 19046-2632 · (267) 594-8734 · Fax (215) 886-2136
Fax(215) 886-2136
Organization SubpartNo
Authorized OfficialNichelle Adegbite-maraventanoOwner · (267) 594-8734
Enumeration DateJanuary 22, 2024
NPPES CertifiedJanuary 22, 2024
✔ NPI 1730940263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedDietitian, RegisteredTaxonomy 133V00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
361 HIGHLAND AVE STE 206, Jenkintown, PA 19046

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Peds 360 Plus Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Peds 360 Plus Corp, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1144712258
4700 WISSAHICKON AVE STE 118
Philadelphia, PA 19144
(215) 843-2580
✔ PECOS6.2 mi
Pediatric Medicine
NPI 1891003208
3401 CIVIC CENTER BLVD CHILDREN'S HOSPITAL OF PHILADELPHIA
Philadelphia, PA 19104
(215) 590-1000
✔ PECOS✔ Accepts Medicare11 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Peds 360 Plus Corp's NPI number?

The NPI number for Peds 360 Plus Corp is 1730940263. It was assigned to this organization in the NPPES registry on January 22, 2024.

Where is Peds 360 Plus Corp located?

Peds 360 Plus Corp is located at 361 Highland Ave Ste 206, Jenkintown, PA 19046. The listed phone number is (267) 594-8734.

What is Peds 360 Plus Corp's specialty?

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

Is Peds 360 Plus Corp enrolled in Medicare?

Yes. Peds 360 Plus Corp is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Peds 360 Plus Corp?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Peds 360 Plus Corp, in Nurse Practitioner and Pediatric Medicine. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Peds 360 Plus Corp was last updated on January 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.