Healthcare Provider Details

I. General information

NPI: 1093838609
Provider Name (Legal Business Name): MEDPEDS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2007
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7350 VANDUSEN RD STE 110
LAUREL MD
20707
US

IV. Provider business mailing address

7350 VANDUSEN RD STE 110
LAUREL MD
20707
US

V. Phone/Fax

Practice location:
  • Phone: 301-498-8880
  • Fax: 301-498-7939
Mailing address:
  • Phone: 301-498-8880
  • Fax: 301-498-7939

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number StateDC
# 3
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number StateDC

VIII. Authorized Official

Name: MRS. JANET ELISSA GERBER-SALINS
Title or Position: PRACTICE MANAGER
Credential:
Phone: 301-498-8880