Stc Pediatrics LLC
NPI 1417591645ActiveOrganization· Surgery, Pediatric Surgery· Sewell, NJ
Surgery, Pediatric Surgery in Sewell, New Jersey, registered in NPPES in October 2019. The authorized official on file is Brian Rayme, Evp & Cfo.
Overview
| NPI | 1417591645 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 31, 2019 |
| Last updated in NPPES | Nov 6, 2025 |
| Certified by provider | Nov 6, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Pediatric Surgery Primary | 2086S0120X | — | — |
| Dentist, Oral and Maxillofacial Surgery | 1223S0112X | — | — |
| Oral & Maxillofacial Surgery | 204E00000X | — | — |
| Pediatrics | 208000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|