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GOLDSTAR PEDIATRICS, LLC
NPI 1104368208
Pediatrics in Colts Neck, NJ

Active since November 07, 2016CLIA 31D2124697 · Waiver
9 PROFESSIONAL CIR STE 103, COLTS NECK, NJ 07722(848) 300-0010(732) 440-3737 Get Directions Write a Review

NPPES record last updated: April 4, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 4, 2023, Jan 8, 2021, Nov 7, 2016 (3 updates tracked since 2016).

About Goldstar Pediatrics, Llc NPPES

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

GOLDSTAR PEDIATRICS, LLC (NPI 1104368208) is a healthcare organization registered as a pediatrics in Colts Neck, New Jersey and active in the NPI registry since November 2016. The organization holds a CLIA Waiver certificate valid through January 23, 2027 and lists Ritu Khullar, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1104368208
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameGOLDSTAR PEDIATRICS, LLC
Location Address9 PROFESSIONAL CIR STE 103Colts Neck, NJ 07722-2427
Mailing Address9 Professional Cir Ste 103nColts Neck, NJ 07722-2427 · (848) 300-0010
Phone(848) 300-0010
Fax(732) 440-3737
Organization SubpartNo
Authorized OfficialRitu KhullarManaging Member · (609) 457-5941
Enumeration DateNovember 7, 2016
Last NPPES UpdateApril 4, 20233 updates tracked since enumeration
NPPES CertifiedApril 4, 2023
✔ NPI 1104368208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NJ · 25MA08909400
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.
9 PROFESSIONAL CIR STE 103, Colts Neck, NJ 07722
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Other Identifiers 1

Other25MA08909400NJ · Nj License

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 31D2124697

Goldstar Pediatrics · Colts Neck, NJ
Active · expires Jan 23, 2027
CLIA Number31D2124697
Laboratory TypePhysician Office
Certificate Effective DateJanuary 24, 2025
Certificate Expiration DateJanuary 23, 2027
Laboratory DirectorRitu Khullar
Laboratory Phone(609) 457-5941
Laboratory LocationGoldstar Pediatrics9 Professional Circle Suite 103 N, Colts Neck, NJ 07722
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

RITU KHULLAR M.D.
Pediatrics
9 PROFESSIONAL CIR STE 103
COLTS NECK, NJ 07722
Monmouth County (848) 300-0010

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 Goldstar Pediatrics, LLC's NPI number?

The NPI number for Goldstar Pediatrics, LLC is 1104368208. It was assigned to this organization in the NPPES registry on November 7, 2016.

Where is Goldstar Pediatrics, LLC located?

Goldstar Pediatrics, LLC is located at 9 Professional Cir Ste 103, Colts Neck, NJ 07722. The listed phone number is (848) 300-0010.

What is Goldstar Pediatrics, LLC's specialty?

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

Does Goldstar Pediatrics, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2124697) is associated with this NPI, valid through January 23, 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 Goldstar Pediatrics, LLC was last updated on April 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.