WILLOWBROOK PEDIATRICS
NPI 1154388403
Pediatrics - Adolescent Medicine in Wayne, NJ

Active since April 28, 2006CLIA 31D2165945 · Waiver
57 WILLOWBROOK BLVD, SUITE 421, WAYNE, NJ 07470(973) 754-4025(973) 754-4044 Get Directions Write a Review

NPPES record last updated: July 12, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Willowbrook Pediatrics NPPES

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

WILLOWBROOK PEDIATRICS (NPI 1154388403) is a healthcare organization registered as an adolescent medicine in Wayne, New Jersey and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through May 7, 2027 and lists Patricia Papadopoulos, President, as its authorized official.

NPPES Registry Identity

NPI1154388403
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NameWILLOWBROOK PEDIATRICS
Location Address57 WILLOWBROOK BLVD, SUITE 421Wayne, NJ 07470-7045
Mailing Address57 Willowbrook Blvd, Suite 421Wayne, NJ 07470-7045 · (973) 754-4025 · Fax (973) 754-4044
Fax(973) 754-4044
Organization SubpartNo
Authorized OfficialPatricia PapadopoulosPresident · (973) 754-4025
Enumeration DateApril 28, 2006
Last NPPES UpdateJuly 12, 2007
NPI 1154388403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

57 WILLOWBROOK BLVD, Wayne, NJ 07470

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 31D2165945

Willowbrook Pediatrics/Bcd Health Partner · Wayne, NJ
Active · expires May 7, 2027
CLIA Number31D2165945
Laboratory TypePhysician Office
Certificate Effective DateMay 8, 2025
Certificate Expiration DateMay 7, 2027
Laboratory DirectorPatricia Papadopoulos
Laboratory Phone(973) 754-4025
Laboratory LocationWillowbrook Pediatrics/Bcd Health Partner57 Willowbrook Blvd, Suite 421, Wayne, NJ 07470
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 17

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

Pediatrics (Adolescent Medicine)
57 WILLOWBROOK BLVD, SUITE 421
WAYNE, NJ 07470
Pediatrics (Adolescent Medicine)
57 WILLOWBROOK BLVD, SUITE 421
WAYNE, NJ 07470
Pediatrics (Adolescent Medicine)
57 WILLOWBROOK BLVD, SUITE 421
WAYNE, NJ 07470
Obstetrics & Gynecology
57 WILLOWBROOK BLVD
WAYNE, NJ 07470
Obstetrics & Gynecology
57 WILLOWBROOK BLVD, SECOND FLOOR
WAYNE, NJ 07470
Obstetrics & Gynecology (Maternal & Fetal Medicine)
57 WILLOWBROOK BLVD, SUITE 301
WAYNE, NJ 07470
Obstetrics & Gynecology (Reproductive Endocrinology)
57 WILLOWBROOK BLVD
WAYNE, NJ 07470
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
57 WILLOWBROOK BLVD, 2ND FLOOR
WAYNE, NJ 07470

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154388403, enumerated as an "organization" on April 28, 2006.

The provider is located at 57 WILLOWBROOK BLVD SUITE 421 WAYNE, NJ 07470 and the phone number is (973) 754-4025.

Pediatrics with taxonomy code 2080A0000X and a focus in Adolescent Medicine.