Pediatric Associate

Pediatric Associate is a healthcare organization registered as Legal Medicine in Bridgeport, WV, holding Type 2 (organization) NPI 1104937416 since 2006. The authorized official on file is Joseph Momen, Owner.

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NPI	1104937416
Entity type	Organization (Type 2)
Legal business name	Pediatric Associate
Practice address	11 CHENOWETH DR, SUITE A, Bridgeport, WV, 26330
Phone	3048425777
Fax	3048423318
Enumeration date	2006-08-31
Last updated in NPPES	2020-08-22

Authorized official

Name	Joseph Momen
Title	Owner
Phone	3048425777

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
173000000X	Legal Medicine	Primary	WV11941	WV

Other identifiers

Identifier	Type	State	Issuer
0010556000	Medicaid	WV	—

Copy-ready billing details

Provider: Pediatric Associate
NPI: 1104937416
Taxonomy: 173000000X (Legal Medicine)
Address: 11 CHENOWETH DR, SUITE A, Bridgeport, WV, 26330

Providers at this address

NPI	Name	Type	Specialty	Location
1538256805	Pediatric Associate	Organization	Clinical Medical Laboratory	Bridgeport, WV

Verify this record

Cross-check NPI 1104937416 against the authoritative CMS record: view Pediatric Associate on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Pediatric Associate located?

The practice location on file with NPPES is in Bridgeport, WV.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-22. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2020-08-22.