DERRY PEDIATRICS
NPI 1174603849
Pediatrics in Derry, NH

Active since October 17, 2006CLIA 30D0084807 · Waiver
43 B BIRCH STREET, DERRY, NH 03038(603) 434-0327(603) 437-7175 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Derry Pediatrics NPPES

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

DERRY PEDIATRICS (NPI 1174603849) is a healthcare organization registered as a pediatrics in Derry, New Hampshire and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through March 6, 2027 and lists William M Tombari, President, as its authorized official.

NPPES Registry Identity

NPI1174603849
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameDERRY PEDIATRICS
Location Address43 B BIRCH STREETDerry, NH 03038
Mailing Address43 B Birch StreetDerry, NH 03038 · (603) 434-0327 · Fax (603) 437-7175
Fax(603) 437-7175
Organization SubpartNo
Authorized OfficialWilliam M TombariPresident · (603) 434-0327
Enumeration DateOctober 17, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1174603849 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.

43 B BIRCH STREET, Derry, NH 03038

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 30D0084807

Derry Pediatrics · Derry, NH
Active · expires Mar 6, 2027
CLIA Number30D0084807
Laboratory TypePhysician Office
Certificate Effective DateMarch 7, 2025
Certificate Expiration DateMarch 6, 2027
Laboratory DirectorGary T. Della Grotta
Laboratory Phone(603) 434-0327
Laboratory LocationDerry Pediatrics43 B Birch St, Derry, NH 03038
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174603849, enumerated as an "organization" on October 17, 2006.

The provider is located at 43 B BIRCH STREET DERRY, NH 03038 and the phone number is (603) 434-0327.

Pediatrics with taxonomy code 208000000X.