Healthcare Provider Details

I. General information

NPI: 1063482610
Provider Name (Legal Business Name): WHITE OAK PEDIATRICS DR BATTIATA & IMPEDUGLIA PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2006
Last Update Date: 10/29/2025
Certification Date: 10/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 MOUNTAIN RD SUITE E
PASADENA MD
21122
US

IV. Provider business mailing address

11161 NEW HAMPSHIRE AVE SUITE 301
SILVER SPRING MD
20904
US

V. Phone/Fax

Practice location:
  • Phone: 410-360-4446
  • Fax: 410-360-4449
Mailing address:
  • Phone: 410-360-4446
  • Fax: 410-360-4449

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. CYNTHIA NIEMEYER SCHAEFFER
Title or Position: MEDICAL DIRECTOR PEDIATRIC PLACE UN
Credential: MD
Phone: 410-360-4446