WILLIAMSTOWN PEDIATRIC PRACTICE,PA - NPI 1184671380

Q: What is the provider's specialty?

The provider's specialty is Pediatrics with taxonomy code 208000000X.

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About Williamstown Pediatric Practice,pa NPPES

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

WILLIAMSTOWN PEDIATRIC PRACTICE,PA (NPI 1184671380) is a healthcare organization registered as a pediatrics in Williamstown, New Jersey and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Rajeswari Kanthan, Owner, as its authorized official.

NPPES Registry Identity

NPI1184671380

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameWILLIAMSTOWN PEDIATRIC PRACTICE,PA

Location Address925 S BLACK HORSE PIKEWilliamstown, NJ 08094-1900

Mailing Address925 S Black Horse PikeWilliamstown, NJ 08094-1900 · (856) 629-9000

Phone(856) 629-9000

Organization SubpartNo

Authorized OfficialRajeswari KanthanOwner · (856) 629-9000

Enumeration DateMay 31, 2006

Last NPPES UpdateJanuary 7, 2014

✔ NPI 1184671380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in NJ · 25MA05934000

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.

925 S BLACK HORSE PIKE, Williamstown, NJ 08094

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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

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 31D0692508

Williamstown Pediatric Practice PA · Williamstown, NJ

Active · expires Aug 31, 2026

CLIA Number31D0692508

Laboratory TypePhysician Office

Certificate Effective DateSeptember 1, 2024

Certificate Expiration DateAugust 31, 2026

Laboratory DirectorRajeswari Kanthan

Laboratory Phone(856) 629-9000

Laboratory LocationWilliamstown Pediatric Practice PA925 A S Blackhorse Pike, Williamstown, NJ 08094

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

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

DR. MARY MATHEW MD

Pediatrics