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FAYROUZ PEDIATRIC LLC
NPI 1154571222
Pediatrics in Paterson, NJ

Active since September 25, 2008CLIA Certified · 2 labs
540 STRAIGHT STREET SECOND FLOOR 2E, PATERSON, NJ 07503(973) 928-3388(973) 928-3388 Get Directions Write a Review

NPPES record last updated: January 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Fayrouz Pediatric Llc NPPES

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

FAYROUZ PEDIATRIC LLC (NPI 1154571222) is a healthcare organization registered as a pediatrics in Paterson, New Jersey and active in the NPI registry since September 2008. The organization holds 2 active CLIA laboratory certificates and lists Hisham H Gadalla, President, as its authorized official.

NPPES Registry Identity

NPI1154571222
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameFAYROUZ PEDIATRIC LLC
Location Address540 STRAIGHT STREET SECOND FLOOR 2EPaterson, NJ 07503
Mailing Address238 Old Wagon RoadFranklin Lakes, NJ 07417-1626 · (973) 928-3388 · Fax (973) 928-3388
Phone(973) 928-3388
Fax(973) 928-3388
Organization SubpartNo
Authorized OfficialHisham H GadallaPresident · (973) 928-3388
Enumeration DateSeptember 25, 2008
Last NPPES UpdateJanuary 9, 2024
✔ NPI 1154571222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NJ · 25MA075893
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.
540 STRAIGHT STREET SECOND FLOOR 2E, Paterson, NJ 07503
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 31D2314831

Fayrouz Pediatrics · Paterson, NJ
Active · expires Nov 28, 2026
CLIA Number31D2314831
Laboratory TypePhysician Office
Certificate Effective DateNovember 29, 2024
Certificate Expiration DateNovember 28, 2026
Laboratory DirectorHisham Gadalla
Laboratory Phone(973) 928-3388
Laboratory LocationFayrouz Pediatrics540 Straight St, Paterson, NJ 07503
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 31D1087714

Fayrouz Pediatric LLC · Clifton, NJ
Active · expires May 19, 2027
CLIA Number31D1087714
Laboratory TypePhysician Office
Certificate Effective DateMay 20, 2025
Certificate Expiration DateMay 19, 2027
Laboratory DirectorHisham Gadalla
Laboratory Phone(973) 928-3388
Laboratory LocationFayrouz Pediatric LLC1135 Main Street, 2nd Fl, Clifton, NJ 07011
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Fayrouz Pediatric LLC's NPI number?

The NPI number for Fayrouz Pediatric LLC is 1154571222. It was assigned to this organization in the NPPES registry on September 25, 2008.

Where is Fayrouz Pediatric LLC located?

Fayrouz Pediatric LLC is located at 540 Straight Street Second Floor 2E, Paterson, NJ 07503. The listed phone number is (973) 928-3388.

What is Fayrouz Pediatric LLC's specialty?

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

Does Fayrouz Pediatric LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Fayrouz Pediatric LLC accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Fayrouz Pediatric LLC 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 Fayrouz Pediatric LLC was last updated on January 9, 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.