NIGHT LITE PEDIATRIC CENTER, LLC
NPI 1154081123
Pediatrics in Melbourne, FL

Active since December 17, 2021CLIA 10D2095384 · Waiver
145 PALM BAY RD NE, MELBOURNE, FL 32904(321) 608-3595 Get Directions Write a Review

NPPES record last updated: January 21, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 31, 2023, Jan 19, 2022, Dec 17, 2021 (3 updates tracked since 2021).

About Night Lite Pediatric Center, Llc NPPES

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

NIGHT LITE PEDIATRIC CENTER, LLC (NPI 1154081123) is a healthcare organization registered as a pediatrics in Melbourne, Florida and active in the NPI registry since December 2021. The organization holds a CLIA Waiver certificate valid through April 29, 2027 and lists Danielle Marie Lopez, Manager Credentialing/enrollment, as its authorized official.

NPPES Registry Identity

NPI1154081123
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameNIGHT LITE PEDIATRIC CENTER, LLC
Location Address145 PALM BAY RD NEMelbourne, FL 32904-8601
Mailing Address1 Hollow Ln Ste 301New Hyde Park, NY 11042-1215 · (516) 207-7936
Organization SubpartNo
Authorized OfficialDanielle Marie LopezManager Credentialing/enrollment · (516) 207-7936
Enumeration DateDecember 17, 2021
Last NPPES UpdateJanuary 21, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2025
NPI 1154081123 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.

145 PALM BAY RD NE, Melbourne, FL 32904

Other Identifiers 1

Medicaid113228409FL

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 10D2095384

Night Lite Pediatric Center, LLC · Melbourne, FL
Active · expires Apr 29, 2027
CLIA Number10D2095384
Laboratory TypePhysician Office
Certificate Effective DateApril 30, 2025
Certificate Expiration DateApril 29, 2027
Laboratory DirectorOludapo Soremi
Laboratory Phone(321) 608-3595
Laboratory LocationNight Lite Pediatric Center, LLC145 Palm Bay Rd NE, Melbourne, FL 32904
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 12

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

Chiropractor
145 PALM BAY RD NE, SUITE 120
WEST MELBOURNE, FL 32904
Pharmacist
145 PALM BAY RD NE, 117
WEST MELBOURNE, FL 32904
Chiropractor
145 PALM BAY RD NE, SUITE 120
WEST MELBOURNE, FL 32904
Pharmacist
145 PALM BAY RD NE, STE 117
WEST MELBOURNE, FL 32904
Chiropractor
145 PALM BAY RD NE, STE 120
MELBOURNE, FL 32904
Pharmacist
145 PALM BAY RD NE
WEST MELBOURNE, FL 32904
Durable Medical Equipment & Medical Supplies
145 PALM BAY RD NE, SUITE 108
WEST MELBOURNE, FL 32904
Optometrist
145 PALM BAY RD NE, SUITE 101
W MELBOURNE, FL 32904

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 Night Lite Pediatric Center, LLC's NPI number?

The NPI number for Night Lite Pediatric Center, LLC is 1154081123. It was assigned to this organization in the NPPES registry on December 17, 2021.

Where is Night Lite Pediatric Center, LLC located?

Night Lite Pediatric Center, LLC is located at 145 Palm Bay Rd NE, Melbourne, FL 32904. The listed phone number is (321) 608-3595.

What is Night Lite Pediatric Center, LLC's specialty?

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

Does Night Lite Pediatric Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2095384) is associated with this NPI, valid through April 29, 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 Night Lite Pediatric Center, LLC was last updated on January 21, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.