FOUNDATION PEDIATRICS - NPI 1356387286 - Pediatrics in East Orange, NJ

Q: What is the provider's specialty?

The provider's specialty is Pediatrics with taxonomy code 208000000X.

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About Foundation Pediatrics NPPES

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

FOUNDATION PEDIATRICS (NPI 1356387286) is a healthcare organization registered as a pediatrics in East Orange, New Jersey and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through June 15, 2027, maintains a secondary practice location in East Orange, and lists Ronke Dosunmu, Owner, as its authorized official.

NPPES Registry Identity

NPI1356387286

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameFOUNDATION PEDIATRICS

Location Address190 S HARRISON STEast Orange, NJ 07018-1502

Mailing Address190 S Harrison StEast Orange, NJ 07018-1502 · (973) 674-8373

Phone(973) 674-8373

Organization SubpartNo

Authorized OfficialRonke DosunmuOwner · (973) 674-8373

Enumeration DateJune 20, 2006

Last NPPES UpdateNovember 12, 2019

✔ NPI 1356387286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

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.

190 S HARRISON ST, East Orange, NJ 07018

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Secondary Practice Location 1

Location 1344 S Harrison StEast Orange, NJ 07018-1235 · Phone (973) 674-8373

Other Identifiers 1

Medicaid6011004NJ

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 31D0961768

Foundation Pediatrics · East Orange, NJ

Active · expires Jun 15, 2027

CLIA Number31D0961768

Laboratory TypePhysician Office

Certificate Effective DateJune 16, 2025

Certificate Expiration DateJune 15, 2027

Laboratory DirectorRonke Y. Dosunmu MD

Laboratory Phone(973) 674-8373

Laboratory LocationFoundation Pediatrics190 South Harrison Street, East Orange, NJ 07018

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 7

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

PAIN RELIEF CENTER OF NJ PC

Chiropractor