PRINCE WILLIAM PEDIATRICS AND ADOLESCENT CENTER – Primary Care Clinic/Center, NPI 1689965865

PRINCE WILLIAM PEDIATRICS AND ADOLESCENT CENTER is a healthcare provider. based in Woodbridge, Virginia. specializing in Primary Care Clinic/Center. The organization holds a License No. 0101230761 (VA). The NPI Number for PRINCE WILLIAM PEDIATRICS AND ADOLESCENT CENTER is 1689965865

Main info

Organization
Name
PRINCE WILLIAM PEDIATRICS AND ADOLESCENT CENTER
NPI
1689965865
Phone
(703) 492-1400
Address
12722 DIRECTORS LOOP
Authorized Official
DR. ALI JADIDI DIRECTOR M.D.
Enumeration Date
22 April 2011
Last Update Date
22 April 2011
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

Provider Addresses for PRINCE WILLIAM PEDIATRICS AND ADOLESCENT CENTER

  • 12722 DIRECTORS LOOP

    WOODBRIDGE, VA 221922462

    Phone: (703) 492-1400

    Fax: (703) 492-0220

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 22192)

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Reviews

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Frequently asked questions

Can I use this page to confirm PRINCE WILLIAM PEDIATRICS AND ADOLESCENT CENTER's NPI?
Yes. PRINCE WILLIAM PEDIATRICS AND ADOLESCENT CENTER is listed with NPI 1689965865 in the public NPI dataset.
Does CMS list PRINCE WILLIAM PEDIATRICS AND ADOLESCENT CENTER as active?
Yes — PRINCE WILLIAM PEDIATRICS AND ADOLESCENT CENTER is active in the NPI listing used on this page.
What is PRINCE WILLIAM PEDIATRICS AND ADOLESCENT CENTER best known for clinically?
Directory data describes PRINCE WILLIAM PEDIATRICS AND ADOLESCENT CENTER with Primary Care Clinic/Center. Clinical services aligned with this taxonomy classification.
Where is PRINCE WILLIAM PEDIATRICS AND ADOLESCENT CENTER based?
PRINCE WILLIAM PEDIATRICS AND ADOLESCENT CENTER is tied to Woodbridge, Virginia in the data we show; additional addresses may exist on the full record.
Why does PRINCE WILLIAM PEDIATRICS AND ADOLESCENT CENTER have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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