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OLD TAPPAN PEDIATRICS
NPI 1114936879
Pediatrics in Old Tappan, NJ

Active since August 05, 2006CLIA 31D0690256 · Waiver
215 OLD TAPPAN RD, OLD TAPPAN, NJ 07675(201) 666-1000(201) 666-7610 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Old Tappan Pediatrics NPPES

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

OLD TAPPAN PEDIATRICS (NPI 1114936879) is a healthcare organization registered as a pediatrics in Old Tappan, New Jersey and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through December 31, 2026 and lists Harry A Hages, President, as its authorized official.

NPPES Registry Identity

NPI1114936879
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameOLD TAPPAN PEDIATRICS
Location Address215 OLD TAPPAN RDOld Tappan, NJ 07675-7000
Mailing Address215 Old Tappan RdOld Tappan, NJ 07675-7000 · (201) 666-1000 · Fax (201) 666-7610
Phone(201) 666-1000
Fax(201) 666-7610
Organization SubpartNo
Authorized OfficialHarry A HagesPresident · (201) 666-1000
Enumeration DateAugust 5, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1114936879 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.
215 OLD TAPPAN RD, Old Tappan, NJ 07675
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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 31D0690256

Old Tappan Pediatrics · Old Tappan, NJ
Active · expires Dec 31, 2026
CLIA Number31D0690256
Laboratory TypePhysician Office
Certificate Effective DateJanuary 1, 2025
Certificate Expiration DateDecember 31, 2026
Laboratory DirectorNancy Rothenberg
Laboratory Phone(201) 666-1001
Laboratory LocationOld Tappan Pediatrics215 Old Tappan Road, Old Tappan, NJ 07675
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 12

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

MADISON PHYSICAL THERAPY LIMITED PARTNERSHIP
Physical Therapist
215 OLD TAPPAN RD
OLD TAPPAN, NJ 07675
Bergen County (201) 722-8887
OLD TAPPAN MEDICAL GROUP DEPT OF INTERNAL MEDICINE, LLC
Internal Medicine
215 OLD TAPPAN RD
OLD TAPPAN, NJ 07675
Bergen County (201) 666-1000
CURALTA MEDICAL LLC
Podiatrist
215 OLD TAPPAN RD
OLD TAPPAN, NJ 07675
Bergen County (201) 930-9090
MR. JAMES EDWARD BUIRKLE MD
Internal Medicine
215 OLD TAPPAN RD
OLD TAPPAN, NJ 07675
Bergen County (201) 666-1000
DR. SHELDON RUDNICKI DDS
Dentist
215 OLD TAPPAN RD, 2ND FLOOR
OLD TAPPAN, NJ 07675
Bergen County (201) 666-8811
STEVEN CAPITANI PT
Physical Therapist
215 OLD TAPPAN RD
OLD TAPPAN, NJ 07675
Bergen County (201) 722-8887
DR. SPERO EVAN DEMOLEAS D.P.M.
Podiatrist (Foot & Ankle Surgery)
215 OLD TAPPAN RD
OLD TAPPAN, NJ 07675
Bergen County (201) 930-9090
NANCY A ROTHENBERG DO
Pediatrics
215 OLD TAPPAN RD
OLD TAPPAN, NJ 07675
Bergen County (201) 666-1000

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 Old Tappan Pediatrics's NPI number?

The NPI number for Old Tappan Pediatrics is 1114936879. It was assigned to this organization in the NPPES registry on August 5, 2006.

Where is Old Tappan Pediatrics located?

Old Tappan Pediatrics is located at 215 Old Tappan Rd, Old Tappan, NJ 07675. The listed phone number is (201) 666-1000.

What is Old Tappan Pediatrics's specialty?

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

Does Old Tappan Pediatrics hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D0690256) is associated with this NPI, valid through December 31, 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 Old Tappan Pediatrics was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.