PREMIER PEDIATRIC CARDIOLOGY LLC
PREMIER PEDIATRIC CARDIOLOGY LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1962866566, based in Marlton, NJ. It is classified under Pediatric Cardiology Physician.
Getting there
The practice address on file is 750 ROUTE 73 S, Marlton, NJ 08053. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 25MA08663900 | NJ | Pediatric Cardiology Physician primary |
| MD436538 | PA | Pediatric Cardiology Physician |
Licences are recorded in 2 states: NJ, PA. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 0446538946
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
Licensed in 2 states
This provider holds licences in 2 states: New Jersey and Pennsylvania. The practice address on file is in Marlton, NJ, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.
- Licence
- 25MA08663900
- Specialty
- Pediatric Cardiology Physician
Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.
What Pediatric Cardiology covers
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. NUCC Health Care Provider Taxonomy, code 2080P0202X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 2080P0202X | Pediatric Cardiology Physician Pediatric Cardiology | 25MA08663900 | NJ | primary |
| 2080P0202X | Pediatric Cardiology Physician Pediatric Cardiology | MD436538 | PA |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1962866566 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Apr 9, 2016 |
| Last updated | Oct 20, 2016 |
| Status | Active |
| Practice address |
750 ROUTE 73 S Marlton, NJ 08053 (856) 872-2868 Fax (856) 872-2876 |
| Mailing address |
333 E LANCASTER AVE #334 Wynnewood, PA 19096 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 9 | 6 | 2 | 8 | 6 | 6 | 5 | 6 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 9 | 3 | 2 | 7 | 6 | 3 | 5 | 3 |
Sum = 64 · next multiple of 10 = 70 · check digit = 6 · actual last digit = 6
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.