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HOLLYWOOD PEDIATRICS, P.A.
NPI 1285840900
Specialist in Hollywood, FL

Active since May 16, 2007CLIA 10D2066181 · Waiver
4430 SHERIDAN ST, SUITE B, HOLLYWOOD, FL 33021(954) 963-5437 Get Directions Write a Review

NPPES record last updated: April 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Hollywood Pediatrics, P.a. NPPES

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

HOLLYWOOD PEDIATRICS, P.A. (NPI 1285840900) is a healthcare organization registered as a specialist in Hollywood, Florida and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through September 22, 2027 and lists Jeff Wieder, Owner, as its authorized official.

NPPES Registry Identity

NPI1285840900
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameHOLLYWOOD PEDIATRICS, P.A.
Location Address4430 SHERIDAN ST, SUITE BHollywood, FL 33021-3546
Mailing Address4430 Sheridan St, Suite BHollywood, FL 33021-3546 · (954) 963-5437
Phone(954) 963-5437
Organization SubpartNo
Authorized OfficialJeff WiederOwner · (954) 963-5437
Enumeration DateMay 16, 2007
Last NPPES UpdateApril 22, 2025
NPPES CertifiedApril 22, 2025
✔ NPI 1285840900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
4430 SHERIDAN ST, Hollywood, FL 33021
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Other Identifiers 1

Medicaid262004900FL

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 AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.Insurance ›

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 10D2066181

Hollywood Pediatrics PA · Hollywood, FL
Active · expires Sep 22, 2027
CLIA Number10D2066181
Laboratory TypePhysician Office
Certificate Effective DateSeptember 23, 2025
Certificate Expiration DateSeptember 22, 2027
Laboratory DirectorElizabeth R. Lobell
Laboratory Phone(954) 963-5437
Laboratory LocationHollywood Pediatrics PA4430 Seridan St Ste B, Hollywood, FL 33021
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 3

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

JOSHUA Z STEINER DO PA
Family Medicine
4430 SHERIDAN ST, STE A
HOLLYWOOD, FL 33021
Broward County (954) 989-3100
DR. MARCY BERNSTEIN MD
Pediatrics
4430 SHERIDAN ST, SUITE B
HOLLYWOOD, FL 33021
Broward County (954) 963-5437
DR. MARLON DAVID GILBERT M.D.
Family Medicine
4430 SHERIDAN ST, SUITE A
HOLLYWOOD, FL 33021
Broward County (954) 962-2309

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 Hollywood Pediatrics, P.A.'s NPI number?

The NPI number for Hollywood Pediatrics, P.A. is 1285840900. It was assigned to this organization in the NPPES registry on May 16, 2007.

Where is Hollywood Pediatrics, P.A. located?

Hollywood Pediatrics, P.A. is located at 4430 Sheridan St Suite B, Hollywood, FL 33021. The listed phone number is (954) 963-5437.

What is Hollywood Pediatrics, P.A.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Hollywood Pediatrics, P.A. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2066181) is associated with this NPI, valid through September 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Hollywood Pediatrics, P.A. accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and Wellpoint list Hollywood Pediatrics, P.A. 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 Hollywood Pediatrics, P.A. was last updated on April 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.