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SILVER CREEK PEDIATRICS
NPI 1063690543
Specialist in Silver Creek, NY

Active since February 06, 2008CLIA Certified · 2 labs
194 CENTRAL AVENUE, SILVER CREEK, NY 14136(716) 947-2222(716) 947-2223 Get Directions Write a Review

NPPES record last updated: April 23, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Silver Creek Pediatrics NPPES

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

SILVER CREEK PEDIATRICS (NPI 1063690543) is a healthcare organization registered as a specialist in Silver Creek, New York and active in the NPI registry since February 2008. The organization holds 2 active CLIA laboratory certificates and lists John Mulawka, Owner/operator, as its authorized official.

NPPES Registry Identity

NPI1063690543
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameJOHN MULAWKA DO PC
Location Address194 CENTRAL AVENUESilver Creek, NY 14136-1338
Mailing Address194 Central AveSilver Creek, NY 14136-1338 · (716) 947-2222 · Fax (716) 947-2223
Phone(716) 947-2222
Fax(716) 947-2223
Organization SubpartNo
Authorized OfficialJohn MulawkaOwner/operator · (716) 947-2222
Enumeration DateFebruary 6, 2008
Last NPPES UpdateApril 23, 2014
✔ NPI 1063690543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 224453
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
194 CENTRAL AVENUE, Silver Creek, NY 14136
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Other Names 1

Doing Business AsSilver Creek Pediatrics

Other Identifiers 1

Medicaid02282048NY

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 2

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 33D1029684

John Mulawka Do PC · Silver Creek, NY
Active · expires Aug 22, 2026
CLIA Number33D1029684
Laboratory TypePhysician Office
Certificate Effective DateAugust 23, 2024
Certificate Expiration DateAugust 22, 2026
Laboratory DirectorDr. John Mulawka
Laboratory Phone(716) 934-4158
Laboratory LocationJohn Mulawka Do PC194 Central Avenue, Silver Creek, NY 14136
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 33D1049131

John Mulawka Do PC Dba Derby Pediatrics · Derby, NY
Active · expires Dec 22, 2027
CLIA Number33D1049131
Laboratory TypePhysician Office
Certificate Effective DateDecember 23, 2025
Certificate Expiration DateDecember 22, 2027
Laboratory DirectorDr. John Mulawka
Laboratory Phone(716) 947-2222
Laboratory LocationJohn Mulawka Do PC Dba Derby Pediatrics6763 Erie Road, Derby, NY 14047
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 John Mulawka Do PC's NPI number?

The NPI number for John Mulawka Do PC is 1063690543. It was assigned to this organization in the NPPES registry on February 6, 2008. The provider is doing business as Silver Creek Pediatrics.

Where is John Mulawka Do PC located?

John Mulawka Do PC is located at 194 Central Avenue, Silver Creek, NY 14136. The listed phone number is (716) 947-2222.

What is John Mulawka Do PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does John Mulawka Do PC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for John Mulawka Do PC was last updated on April 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.