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PREMIER PEDIATRIC CARDIOLOGY LLC
NPI 1962866566
Pediatrics - Pediatric Cardiology in Marlton, NJ

Active since April 09, 2016
750 ROUTE 73 S, MARLTON, NJ 08053(856) 872-2868(856) 872-2876 Get Directions Write a Review

NPPES record last updated: October 20, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Premier Pediatric Cardiology Llc NPPES

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

PREMIER PEDIATRIC CARDIOLOGY LLC (NPI 1962866566) is a healthcare organization registered as a pediatric cardiology in Marlton, New Jersey and active in the NPI registry since April 2016. The organization lists William Bonney, Ceo, as its authorized official.

NPPES Registry Identity

NPI1962866566
Entity TypeOrganization
Primary Taxonomy2080P0202X
Legal Business NamePREMIER PEDIATRIC CARDIOLOGY LLC
Location Address750 ROUTE 73 SMarlton, NJ 08053-4141
Mailing Address333 E Lancaster Ave, #334Wynnewood, PA 19096-1929 · (856) 872-2868
Phone(856) 872-2868
Fax(856) 872-2876
Organization SubpartNo
Authorized OfficialWilliam BonneyCeo · (856) 872-2868
Enumeration DateApril 9, 2016
Last NPPES UpdateOctober 20, 2016
✔ NPI 1962866566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
Licenses✔ Licensed in NJ · 25MA08663900✔ Licensed in PA · MD436538
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
750 ROUTE 73 S, Marlton, NJ 08053
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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 MULTIPLE 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)

Premier Pediatric Cardiology Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Premier Pediatric Cardiology LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

William Bonney, M.D.
Cardiovascular Disease (Cardiology)
NPI 1790801371
750 ROUTE 73 S SUITE 310A
Marlton, NJ 08053
(856) 872-2868
✔ PECOSSame address

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 Premier Pediatric Cardiology LLC's NPI number?

The NPI number for Premier Pediatric Cardiology LLC is 1962866566. It was assigned to this organization in the NPPES registry on April 9, 2016.

Where is Premier Pediatric Cardiology LLC located?

Premier Pediatric Cardiology LLC is located at 750 Route 73 S, Marlton, NJ 08053. The listed phone number is (856) 872-2868.

What is Premier Pediatric Cardiology LLC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Premier Pediatric Cardiology LLC enrolled in Medicare?

Yes. Premier Pediatric Cardiology LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Premier Pediatric Cardiology LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Cardiovascular Disease (Cardiology)) reassigns their Medicare billing to Premier Pediatric Cardiology LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Premier Pediatric Cardiology LLC was last updated on October 20, 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.