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PASSAIC PEDIATRICS PA
NPI 1326383076
Pediatrics in Passaic, NJ

Active since December 06, 2012CLIA Certified · 2 labs
200 GREGORY AVE, PASSAIC, NJ 07055(973) 249-8100(973) 249-8110 Get Directions Write a Review

NPPES record last updated: December 6, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Passaic Pediatrics Pa NPPES

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

PASSAIC PEDIATRICS PA (NPI 1326383076) is a healthcare organization registered as a pediatrics in Passaic, New Jersey and active in the NPI registry since December 2012. The organization holds 2 active CLIA laboratory certificates and lists Antonio M Camilo, Owner, as its authorized official.

NPPES Registry Identity

NPI1326383076
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePASSAIC PEDIATRICS PA
Location Address200 GREGORY AVEPassaic, NJ 07055-3802
Mailing Address298 Passaic StPassaic, NJ 07055-5813 · (973) 249-8100 · Fax (973) 249-8110
Phone(973) 249-8100
Fax(973) 249-8110
Organization SubpartNo
Authorized OfficialAntonio M CamiloOwner · (201) 233-3455
Enumeration DateDecember 6, 2012
✔ NPI 1326383076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in NJ · MA07167400✔ Licensed in NJ · MA08000400✔ Licensed in NJ · MA07649100
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.
200 GREGORY AVE, Passaic, NJ 07055
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Other Identifiers 3

Medicaid1497724819NJ
Medicaid1659418978NJ
Medicaid1629047048NJ

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 MULTIPLE 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 31D2114833

Passaic Pediatrics, PA · Passaic, NJ
Active · expires Jun 20, 2028
CLIA Number31D2114833
Laboratory TypePhysician Office
Certificate Effective DateJune 21, 2026
Certificate Expiration DateJune 20, 2028
Laboratory DirectorAntonio Camilo
Laboratory Phone(973) 249-8100
Laboratory LocationPassaic Pediatrics, PA200 Gregory Avenue Suite 2, 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.

Certificate of Waiver 31D1090880

Passaic Pediatrics · Passaic, NJ
Active · expires Oct 20, 2026
CLIA Number31D1090880
Laboratory TypePhysician Office
Certificate Effective DateOctober 21, 2024
Certificate Expiration DateOctober 20, 2026
Laboratory DirectorAntonio Camilo MD
Laboratory Phone(973) 249-8100
Laboratory LocationPassaic Pediatrics298 Passaic Street, 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.

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.

RONALD P. SINACK
Physiological Laboratory
200 GREGORY AVE
PASSAIC, NJ 07055
Passaic County (848) 333-5063
STEVEN S WINFIELD M.D.
Ophthalmology
200 GREGORY AVE
PASSAIC, NJ 07055
Passaic County (973) 778-8439
WINFIELD MEDICAL EYE CENTER, PA
Ophthalmology
200 GREGORY AVE
PASSAIC, NJ 07055
Passaic County (973) 778-8439

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 PA's NPI number?

The NPI number for Passaic Pediatrics PA is 1326383076. It was assigned to this organization in the NPPES registry on December 6, 2012.

Where is Passaic Pediatrics PA located?

Passaic Pediatrics PA is located at 200 Gregory Ave, Passaic, NJ 07055. The listed phone number is (973) 249-8100.

What is Passaic Pediatrics PA's specialty?

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

Does Passaic Pediatrics PA 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 Passaic Pediatrics PA accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Passaic Pediatrics PA 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 Passaic Pediatrics PA was last updated on December 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.