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PROSPECT PEDIATRICS PA
NPI 1023431871
Pediatrics in Belleville, NJ

Active since January 30, 2014CLIA 31D1103467 · Waiver
163 BELLEVILLE AVE, BELLEVILLE, NJ 07109(973) 302-4644(973) 528-2242 Get Directions Write a Review

NPPES record last updated: December 11, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Prospect Pediatrics Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROSPECT PEDIATRICS PA (NPI 1023431871) is a healthcare organization registered as a pediatrics in Belleville, New Jersey and active in the NPI registry since January 2014. The organization holds a CLIA Waiver certificate valid through August 10, 2027 and lists Fidelis Okoh, Executive Director Operations, as its authorized official.

NPPES Registry Identity

NPI1023431871
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePROSPECT PEDIATRICS PA
Location Address163 BELLEVILLE AVEBelleville, NJ 07109-2437
Mailing AddressP.o. Box 1268Bloomfield, NJ 07003 · (973) 356-1696
Phone(973) 302-4644
Fax(973) 528-2242
Organization SubpartNo
Authorized OfficialFidelis OkohExecutive Director Operations · (973) 356-1696
Enumeration DateJanuary 30, 2014
Last NPPES UpdateDecember 11, 2014
✔ NPI 1023431871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
163 BELLEVILLE AVE, Belleville, NJ 07109
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D1103467

Prospect Pediatrics PA · Belleville, NJ
Active · expires Aug 10, 2027
CLIA Number31D1103467
Laboratory TypePhysician Office
Certificate Effective DateAugust 11, 2025
Certificate Expiration DateAugust 10, 2027
Laboratory DirectorGloria N. Okoh MD
Laboratory Phone(973) 302-4644
Laboratory LocationProspect Pediatrics PA163 Belleville Avenue, Belleville, NJ 07109
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KARA MAGEE MAXSIMIC NP
Nurse Practitioner (Family)
163 BELLEVILLE AVE
BELLEVILLE, NJ 07109
Essex County (973) 302-4644
DR. GLORIA N OKOH M.D
Pediatrics
163 BELLEVILLE AVE
BELLEVILLE, NJ 07109
Essex County (973) 302-4644
ANZULE NAVARRETE
Physician Assistant (Medical)
163 BELLEVILLE AVE
BELLEVILLE, NJ 07109
Essex County (973) 302-4644

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prospect Pediatrics PA's NPI number?

The NPI number for Prospect Pediatrics PA is 1023431871. It was assigned to this organization in the NPPES registry on January 30, 2014.

Where is Prospect Pediatrics PA located?

Prospect Pediatrics PA is located at 163 Belleville Ave, Belleville, NJ 07109. The listed phone number is (973) 302-4644.

What is Prospect Pediatrics PA's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Prospect Pediatrics PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D1103467) is associated with this NPI, valid through August 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Prospect Pediatrics PA was last updated on December 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.