OrganizationActive
Coastal Childrens Services PLLC
NPI 1982092219 · Pediatric Critical Care Medicine Physician · Wilmington, NC
Provider details
- NPI number
- 1982092219
- Entity type
- Organization
- Primary specialty
- Pediatric Critical Care Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Fernando Moya, Presidnet(910) 667-5011
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2131 S 17th St
Wilmington, NC 28401-7407
Phone: (910) 772-9402
Fax: (910) 772-9452
Street-level locationGet directions
Mailing address
2131 S 17th St
Wilmington, NC 28401-7407
Registry dates
- Enumerated
- 2015-01-09
- Last updated
- 2015-01-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.