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PASSAIC PEDIATRICS II PA
NPI 1306240270
Specialist in Passaic, NJ

Active since October 21, 2014CLIA 31D2066248 · Waiver
93 MARKET STREET, PASSAIC, NJ 07055(862) 238-8333(862) 238-8338 Get Directions Write a Review

NPPES record last updated: October 21, 2014. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Passaic Pediatrics Ii Pa NPPES

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

PASSAIC PEDIATRICS II PA (NPI 1306240270) is a healthcare organization registered as a specialist in Passaic, New Jersey and active in the NPI registry since October 2014. The organization holds a CLIA Waiver certificate valid through September 23, 2027 and lists Raul Almanzar, Md/president, as its authorized official.

NPPES Registry Identity

NPI1306240270
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePASSAIC PEDIATRICS II PA
Location Address93 MARKET STREETPassaic, NJ 07055
Mailing Address913 Main AvePassaic, NJ 07055 · (973) 458-8000 · Fax (973) 458-8425
Phone(862) 238-8333
Fax(862) 238-8338
Organization SubpartNo
Authorized OfficialRaul AlmanzarMd/president · (973) 458-8000
Enumeration DateOctober 21, 2014
✔ NPI 1306240270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NJ · 25MA65994
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.
93 MARKET STREET, Passaic, NJ 07055
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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 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 31D2066248

Passaic Pediatrics II PA · Passaic, NJ
Active · expires Sep 23, 2027
CLIA Number31D2066248
Laboratory TypePhysician Office
Certificate Effective DateSeptember 24, 2025
Certificate Expiration DateSeptember 23, 2027
Laboratory DirectorDr. Mario Mico
Laboratory Phone(862) 238-8333
Laboratory LocationPassaic Pediatrics II PA79 Market Street, Passaic, NJ 07055
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 31D1027827

Passaic Pediatrics II PA · Passaic, NJ
Expired · Jul 14, 2026
CLIA Number31D1027827
Laboratory TypePhysician Office
Certificate Effective DateJuly 15, 2024
Certificate Expiration DateJuly 14, 2026
Laboratory DirectorMario Mico
Laboratory Phone(973) 458-8000
Laboratory LocationPassaic Pediatrics II PA913 Main Avenue, Passaic, NJ 07055
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Passaic Pediatrics II PA's NPI number?

The NPI number for Passaic Pediatrics II PA is 1306240270. It was assigned to this organization in the NPPES registry on October 21, 2014.

Where is Passaic Pediatrics II PA located?

Passaic Pediatrics II PA is located at 93 Market Street, Passaic, NJ 07055. The listed phone number is (862) 238-8333.

What is Passaic Pediatrics II PA's specialty?

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

Does Passaic Pediatrics II PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2066248) is associated with this NPI, valid through September 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 Passaic Pediatrics II PA was last updated on October 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.