DR. ITA SCOLNICK M.D.
NPI 1194768580
Pediatrics in Randolph, NJ

Q: What is Ita Scolnick's NPI number?

The NPI number for Ita Scolnick is 1194768580. It was assigned to this individual provider in the NPPES registry on June 13, 2006.

Q: What is Ita Scolnick's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ita Scolnick was last updated on September 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since June 13, 2006CLIA 31D0115823 · Waiver

447 ROUTE 10 EAST, SUITE 16, RANDOLPH, NJ 07869(973) 361-2860(973) 361-3419 Get Directions Write a Review

NPPES record last updated: September 15, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Ita Scolnick M.d. NPPES

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

DR. ITA SCOLNICK M.D. (NPI 1194768580) is an individual pediatrics provider in Randolph, New Jersey, licensed in New Jersey (MA043655) and active in the NPI registry since June 2006. She holds a CLIA Waiver certificate valid through January 23, 2027.

NPPES Registry Identity

NPI1194768580

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. ITA SCOLNICKCredential: M.D.

Location Address447 ROUTE 10 EAST, SUITE 16Randolph, NJ 07869

Mailing Address447 Route 10 East, Suite 16Randolph, NJ 07869 · (973) 361-2860 · Fax (973) 361-3419

Phone(973) 361-2860

Fax(973) 361-3419

Sole ProprietorNo

Enumeration DateJune 13, 2006

Last NPPES UpdateSeptember 15, 2008

✔ NPI 1194768580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in NJ · MA043655

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.

447 ROUTE 10 EAST, Randolph, NJ 07869

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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 31D0115823

Ita Scolnick MD · Randolph, NJ

Active · expires Jan 23, 2027

CLIA Number31D0115823

Laboratory TypePhysician Office

Certificate Effective DateJanuary 24, 2025

Certificate Expiration DateJanuary 23, 2027

Laboratory DirectorIta Scolnick

Laboratory Phone(201) 361-2860

Laboratory LocationIta Scolnick MD447 Rte 10 Suite 16, Randolph, NJ 07869

CLIA data matches this NPI record on: Name

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

Other Providers at the Same Location NPPES

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

MRS. PATRICIA JOHNSEN LCSW

Social Worker (Clinical)

447 ROUTE 10 EAST, SUITE 11
RANDOLPH, NJ 07869

Morris County (201) 757-0194

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 Ita Scolnick's NPI number?

The NPI number for Ita Scolnick is 1194768580. It was assigned to this individual provider in the NPPES registry on June 13, 2006.

Where is Ita Scolnick located?

Ita Scolnick practices at 447 Route 10 East Suite 16, Randolph, NJ 07869. The listed phone number is (973) 361-2860.

What is Ita Scolnick's specialty?

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

Does Ita Scolnick hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D0115823) is associated with this NPI, valid through January 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ita Scolnick was last updated on September 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.