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WASHINGTON ST PEDIATRICS LLC
NPI 1194317107
Pediatrics in Newark, NJ

Active since February 10, 2021CLIA Certified · 2 labs
200 WASHINGTON ST, NEWARK, NJ 07102(973) 622-3890(973) 622-6443 Get Directions Write a Review

NPPES record last updated: June 12, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jan 14, 2022, Feb 10, 2021 (2 updates tracked since 2021).

About Washington St Pediatrics Llc NPPES

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

WASHINGTON ST PEDIATRICS LLC (NPI 1194317107) is a healthcare organization registered as a pediatrics in Newark, New Jersey and active in the NPI registry since February 2021. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Elizabeth, and lists Luis Garay, Owner, as its authorized official.

NPPES Registry Identity

NPI1194317107
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameWASHINGTON ST PEDIATRICS LLC
Location Address200 WASHINGTON STNewark, NJ 07102-2921
Mailing Address200 Washington StNewark, NJ 07102-2921
Phone(973) 622-3890
Fax(973) 622-6443
Organization SubpartNo
Authorized OfficialLuis GarayOwner · (973) 622-3890
Enumeration DateFebruary 10, 2021
Last NPPES UpdateJune 12, 20262 updates tracked since enumeration
NPPES CertifiedJune 12, 2026
✔ NPI 1194317107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedPediatrics · Adolescent MedicineTaxonomy 2080A0000X
200 WASHINGTON ST, Newark, NJ 07102
Open in Google Maps ↗

Secondary Practice Location 1

Location 165 Jefferson Ave # 201Elizabeth, NJ 07201-2474 · Phone (908) 998-2345

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
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 31D2252964

Washington St Pediatrics, LLC · Newark, NJ
Active · expires Feb 15, 2028
CLIA Number31D2252964
Laboratory TypePhysician Office
Certificate Effective DateFebruary 16, 2026
Certificate Expiration DateFebruary 15, 2028
Laboratory DirectorLuis Garay
Laboratory Phone(973) 622-3890
Laboratory LocationWashington St Pediatrics, LLC200 Washington Street, Newark, NJ 07102
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 31D2301170

Washington St Pediatrics · Elizabeth, NJ
Active · expires Mar 20, 2028
CLIA Number31D2301170
Laboratory TypePhysician Office
Certificate Effective DateMarch 21, 2026
Certificate Expiration DateMarch 20, 2028
Laboratory DirectorLuis A. Garay
Laboratory Phone(908) 998-2345
Laboratory LocationWashington St Pediatrics65 Jefferson Ave Floor 2, Elizabeth, NJ 07201
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 2

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

WASHINGTON ST PEDIATRICS LLC
Pediatrics
200 WASHINGTON ST
NEWARK, NJ 07102
Essex County (973) 622-3890
DR. BRYAN ABDUL GHANNY MD
Pediatrics
200 WASHINGTON ST
NEWARK, NJ 07102
Essex County (973) 622-3890

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 Washington St Pediatrics LLC's NPI number?

The NPI number for Washington St Pediatrics LLC is 1194317107. It was assigned to this organization in the NPPES registry on February 10, 2021.

Where is Washington St Pediatrics LLC located?

Washington St Pediatrics LLC is located at 200 Washington St, Newark, NJ 07102. The listed phone number is (973) 622-3890.

What is Washington St Pediatrics LLC's specialty?

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

Does Washington St Pediatrics 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 Washington St Pediatrics LLC accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Washington St Pediatrics 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 Washington St Pediatrics LLC was last updated on June 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.