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SANTA CLARA PEDIATRIC CORPORATION
NPI 1285880047
Pediatrics in North Bergen, NJ

Active since August 13, 2008CLIA 31D1090938 · Waiver
7524 KENNEDY BLVD, NORTH BERGEN, NJ 07047(201) 758-0290 Get Directions Write a Review

NPPES record last updated: August 13, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Santa Clara Pediatric Corporation NPPES

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

SANTA CLARA PEDIATRIC CORPORATION (NPI 1285880047) is a healthcare organization registered as a pediatrics in North Bergen, New Jersey and active in the NPI registry since August 2008. The organization holds a CLIA Waiver certificate valid through October 21, 2026 and lists Damaris Alejandra Eguino Conde, Medicine Doctor, as its authorized official.

NPPES Registry Identity

NPI1285880047
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameSANTA CLARA PEDIATRIC CORPORATION
Location Address7524 KENNEDY BLVDNorth Bergen, NJ 07047-4037
Mailing Address7524 Kennedy BlvdNorth Bergen, NJ 07047-4037 · (201) 758-0290
Phone(201) 758-0290
Organization SubpartNo
Authorized OfficialDamaris Alejandra Eguino CondeMedicine Doctor · (201) 758-0290
Enumeration DateAugust 13, 2008
✔ NPI 1285880047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NJ · 25MA08433000
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.

7524 KENNEDY BLVD, North Bergen, NJ 07047
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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 31D1090938

Santa Clara Pediatric Corp · North Bergen, NJ
Active · expires Oct 21, 2026
CLIA Number31D1090938
Laboratory TypePhysician Office
Certificate Effective DateOctober 22, 2024
Certificate Expiration DateOctober 21, 2026
Laboratory DirectorConde Damaris A. Eguino
Laboratory Phone(201) 738-0290
Laboratory LocationSanta Clara Pediatric Corp7524 Kennedy Blvd, North Bergen, NJ 07047
CLIA data matches this NPI record on: Address Name
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.

HUMBERTO JOSE CONDE MD
Pediatrics
7524 KENNEDY BLVD
NORTH BERGEN, NJ 07047
Hudson County (201) 751-4746
DAMARIS ALEJANDRA EGUINO CONDE M.D.
Pediatrics
7524 KENNEDY BLVD
NORTH BERGEN, NJ 07047
Hudson County (201) 751-4746

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 Santa Clara Pediatric Corporation's NPI number?

The NPI number for Santa Clara Pediatric Corporation is 1285880047. It was assigned to this organization in the NPPES registry on August 13, 2008.

Where is Santa Clara Pediatric Corporation located?

Santa Clara Pediatric Corporation is located at 7524 Kennedy Blvd, North Bergen, NJ 07047. The listed phone number is (201) 758-0290.

What is Santa Clara Pediatric Corporation's specialty?

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

Does Santa Clara Pediatric Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D1090938) is associated with this NPI, valid through October 21, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Santa Clara Pediatric Corporation was last updated on August 13, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.