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HANOVER PEDIATRIC ASSOCIATES, P.C.
NPI 1891721064
Pediatrics in Hanover, PA

Active since June 23, 2006CLIA 39D0887433 · Certificate of Compliance
217 BROADWAY, HANOVER, PA 17331(717) 632-8944(717) 632-1224 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Hanover Pediatric Associates, P.c. NPPES

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

HANOVER PEDIATRIC ASSOCIATES, P.C. (NPI 1891721064) is a healthcare organization registered as a pediatrics in Hanover, Pennsylvania and active in the NPI registry since June 2006. The organization holds a CLIA Certificate of Compliance certificate valid through July 14, 2028 and lists Douglas Joseph Masucci, President, as its authorized official.

NPPES Registry Identity

NPI1891721064
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameHANOVER PEDIATRIC ASSOCIATES, P.C.
Location Address217 BROADWAYHanover, PA 17331-2503
Mailing Address217 BroadwayHanover, PA 17331-2503 · (717) 632-8944 · Fax (717) 632-1224
Phone(717) 632-8944
Fax(717) 632-1224
Organization SubpartNo
Authorized OfficialDouglas Joseph MasucciPresident · (717) 632-8944
Enumeration DateJune 23, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1891721064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
217 BROADWAY, Hanover, PA 17331
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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hanover Pediatric Associates, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Hanover Pediatric Associates, P.C., which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Kaejin Kim, M.D.
Pediatric Medicine
NPI 1770551939
217 BROADWAY
Hanover, PA 17331
(717) 632-8944
✔ PECOSSame address
Melissa Lavallee, M.D.
Pediatric Medicine
NPI 1295703684
217 BROADWAY
Hanover, PA 17331
(717) 632-8944
✔ PECOSSame address
Douglas Masucci, M.D.
Pediatric Medicine
NPI 1588632053
217 BROADWAY
Hanover, PA 17331
(717) 632-8944
✔ PECOSSame address

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

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 Compliance 39D0887433

Hanover Pediatrics · Hanover, PA
Active · expires Jul 14, 2028
CLIA Number39D0887433
Laboratory TypePhysician Office
Certificate Effective DateJuly 15, 2026
Certificate Expiration DateJuly 14, 2028
Laboratory DirectorDr. Kae J. Kim
Laboratory Phone(717) 632-8944
Laboratory LocationHanover Pediatrics217 Broadway, Hanover, PA 17331
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Hanover Pediatric Associates, P.C.'s NPI number?

The NPI number for Hanover Pediatric Associates, P.C. is 1891721064. It was assigned to this organization in the NPPES registry on June 23, 2006.

Where is Hanover Pediatric Associates, P.C. located?

Hanover Pediatric Associates, P.C. is located at 217 Broadway, Hanover, PA 17331. The listed phone number is (717) 632-8944.

What is Hanover Pediatric Associates, P.C.'s specialty?

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

Is Hanover Pediatric Associates, P.C. enrolled in Medicare?

Yes. Hanover Pediatric Associates, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Hanover Pediatric Associates, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Pediatric Medicine, reassign their Medicare billing to Hanover Pediatric Associates, P.C.. 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, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Hanover Pediatric Associates, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 39D0887433) is associated with this NPI, valid through July 14, 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 Hanover Pediatric Associates, P.C. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.