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PEDIATRIC AFFILIATES PA
NPI 1104660133
Pediatrics in Toms River, NJ

Active since June 24, 2024CLIA 31D0123548 · Certificate of Compliance
40 BEY LEA RD STE B203, TOMS RIVER, NJ 08753(732) 341-0720 Get Directions Write a Review

NPPES record last updated: June 24, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pediatric Affiliates Pa NPPES

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

PEDIATRIC AFFILIATES PA (NPI 1104660133) is a healthcare organization registered as a pediatrics in Toms River, New Jersey and active in the NPI registry since June 2024. The organization holds a CLIA Certificate of Compliance certificate valid through August 25, 2026 and lists Andrew Mccarthy, Vp Finance, as its authorized official.

NPPES Registry Identity

NPI1104660133
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePEDIATRIC AFFILIATES PA
Location Address40 BEY LEA RD STE B203Toms River, NJ 08753-2974
Mailing Address40 Bey Lea Rd Ste B203Toms River, NJ 08753-2974 · (732) 341-0720
Phone(732) 341-0720
Organization SubpartNo
Authorized OfficialAndrew MccarthyVp Finance · (732) 341-0720
Enumeration DateJune 24, 2024
NPPES CertifiedJune 24, 2024
✔ NPI 1104660133 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.
40 BEY LEA RD STE B203, Toms River, NJ 08753
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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 Compliance 31D0123548

Pediatric Affiliates, PA · Toms River, NJ
Active · expires Aug 25, 2026
CLIA Number31D0123548
Laboratory TypePhysician Office
Certificate Effective DateAugust 26, 2024
Certificate Expiration DateAugust 25, 2026
Laboratory DirectorRobert A. Shanik
Laboratory Phone(732) 341-0720
Laboratory LocationPediatric Affiliates, PA40 Bey Lea Road Bldg B Suite 203, Toms River, NJ 08753
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 4

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

MISS JENNIFER LYNN BURDO PA-C
Physician Assistant
40 BEY LEA RD STE B203
TOMS RIVER, NJ 08753
Ocean County (732) 341-5180
PEDIATRIC AFFILIATES PA
Clinic/Center (Urgent Care)
40 BEY LEA RD STE B203
TOMS RIVER, NJ 08753
Ocean County (732) 341-0720
MS. MEGHAN BOYLAN O'SULLIVAN APN, FNP-BC
Nurse Practitioner (Family)
40 BEY LEA RD STE B203
TOMS RIVER, NJ 08753
Ocean County (732) 341-0720
ELIZABETH J LAATSCH PA-C
Physician Assistant
40 BEY LEA RD STE B203
TOMS RIVER, NJ 08753
Ocean County (732) 341-0720

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 Pediatric Affiliates PA's NPI number?

The NPI number for Pediatric Affiliates PA is 1104660133. It was assigned to this organization in the NPPES registry on June 24, 2024.

Where is Pediatric Affiliates PA located?

Pediatric Affiliates PA is located at 40 Bey Lea Rd Ste B203, Toms River, NJ 08753. The listed phone number is (732) 341-0720.

What is Pediatric Affiliates PA's specialty?

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

Does Pediatric Affiliates PA hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 31D0123548) is associated with this NPI, valid through August 25, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pediatric Affiliates PA was last updated on June 24, 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.