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Pediatric & Adolescent Medical Assoc PC

Pediatrics Physician in Rome, NY · enumerated 2006 · authorized official Diane Hardish, Business Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1629169834

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Registry record

Entity type Organization (Type 2)
Legal business name Pediatric & Adolescent Medical Assoc PC
Practice address 117 W Liberty Street, Rome, NY, 13440
Phone (315) 339-0401
Fax (315) 339-2957
Enumeration date Sep 27, 2006
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Diane Hardish
Title Business Manager
Phone (315) 339-0401

Other identifiers

Identifier Type State Issuer
00606597 Medicaid NY -

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.

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Frequently asked questions

What is the NPI number for Pediatric & Adolescent Medical Assoc PC?
The NPI for Pediatric & Adolescent Medical Assoc PC is 1629169834, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Pediatric & Adolescent Medical Assoc PC?
NPPES lists Diane Hardish (Business Manager) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.