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HEALTHY PEDIATRICS AT OLD BRIDGE, LLC
NPI 1073378519
Pediatrics in South Amboy, NJ

Active since February 14, 2024CLIA 31D2041413 · Waiver
3 ATHENS AVE, SOUTH AMBOY, NJ 08879(732) 952-8400(984) 260-3810 Get Directions Write a Review

NPPES record last updated: February 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Healthy Pediatrics At Old Bridge, Llc NPPES

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

HEALTHY PEDIATRICS AT OLD BRIDGE, LLC (NPI 1073378519) is a healthcare organization registered as a pediatrics in South Amboy, New Jersey and active in the NPI registry since February 2024. The organization holds a CLIA Waiver certificate valid through May 21, 2028 and lists Patricia Manfredonia, Owner, as its authorized official.

NPPES Registry Identity

NPI1073378519
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameHEALTHY PEDIATRICS AT OLD BRIDGE, LLC
Location Address3 ATHENS AVESouth Amboy, NJ 08879-2401
Mailing Address3 Athens AveSouth Amboy, NJ 08879-2401 · (973) 650-0059 · Fax (984) 260-3810
Phone(732) 952-8400
Fax(984) 260-3810
Organization SubpartNo
Authorized OfficialPatricia ManfredoniaOwner · (973) 650-0059
Enumeration DateFebruary 14, 2024
Last NPPES UpdateFebruary 19, 2024
NPPES CertifiedFebruary 19, 2024
✔ NPI 1073378519 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.
3 ATHENS AVE, South Amboy, NJ 08879
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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 31D2041413

Healthy Pediatrics At Old Bridge, LLC · South Amboy, NJ
Active · expires May 21, 2028
CLIA Number31D2041413
Laboratory TypePhysician Office
Certificate Effective DateMay 22, 2026
Certificate Expiration DateMay 21, 2028
Laboratory DirectorPatricia E. Manfredonia
Laboratory Phone(732) 952-8400
Laboratory LocationHealthy Pediatrics At Old Bridge, LLC3 Athens Avenue, South Amboy, NJ 08879
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.

PARKVIEW CENTER FOR PAIN MANAGEMENT INC.
Pain Medicine (Pain Medicine)
3 ATHENS AVE
SOUTH AMBOY, NJ 08879
Middlesex County (732) 553-9400
DR. PHILIP C POLLEN SR. MD
Specialist
3 ATHENS AVE
SOUTH AMBOY, NJ 08879
Middlesex County (732) 553-9400
DR. PATRICIA ESTRADA MANFREDONIA MD
Pediatrics
3 ATHENS AVE
SOUTH AMBOY, NJ 08879
Middlesex County (732) 952-8400

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 Healthy Pediatrics At Old Bridge, LLC's NPI number?

The NPI number for Healthy Pediatrics At Old Bridge, LLC is 1073378519. It was assigned to this organization in the NPPES registry on February 14, 2024.

Where is Healthy Pediatrics At Old Bridge, LLC located?

Healthy Pediatrics At Old Bridge, LLC is located at 3 Athens Ave, South Amboy, NJ 08879. The listed phone number is (732) 952-8400.

What is Healthy Pediatrics At Old Bridge, LLC's specialty?

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

Does Healthy Pediatrics At Old Bridge, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2041413) is associated with this NPI, valid through May 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Healthy Pediatrics At Old Bridge, LLC was last updated on February 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.