NORTH WAYNE PEDIATRICS
NPI 1124186853
Clinic/Center - Primary Care in Wayne, NJ
About North Wayne Pediatrics NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTH WAYNE PEDIATRICS (NPI 1124186853) is a healthcare organization registered as a primary care in Wayne, New Jersey and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through October 14, 2027 and lists Tomasz Adam Gruczynski, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
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 31D2240026
North Wayne Pediatrics A Member Of Consensus Health · Wayne, NJOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 North Wayne Pediatrics's NPI number?
The NPI number for North Wayne Pediatrics is 1124186853. It was assigned to this organization in the NPPES registry on December 5, 2006.
Where is North Wayne Pediatrics located?
North Wayne Pediatrics is located at 508 Hamburg Tpke Ste 106, Wayne, NJ 07470. The listed phone number is (973) 942-7800.
What is North Wayne Pediatrics's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Does North Wayne Pediatrics hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 31D2240026) is associated with this NPI, valid through October 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does North Wayne Pediatrics accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list North Wayne Pediatrics as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for North Wayne 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.
# North Wayne Pediatrics · NPI 1124186853
Primary Care organization in Wayne, New Jersey. Organization record, active in the CMS NPPES registry since December 5, 2006.
## Identity
- **NPI:** 1124186853 (Entity type: Organization)
- **Enumerated:** December 5, 2006
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Tomasz Gruczynski, OWNER
## Practice location
- **Address:** 508 HAMBURG TPKE STE 106, Wayne, NJ 07470-8482
- **Phone:** (973) 942-7800
## Record status
- **NPPES last updated:** August 22, 2020
- **Other identifiers:** Medicaid 9044400 (NJ)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1124186853) · Data from the CMS NPPES public registry.