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IRIS PEDIATRICS, LLC
NPI 1376903211
Clinic/Center - Primary Care in Holmdel, NJ

Active since March 04, 2016CLIA 31D2349658 · Waiver
702 N BEERS ST, SUITE 1, HOLMDEL, NJ 07733(732) 862-0200 Get Directions Write a Review

NPPES record last updated: March 4, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Iris Pediatrics, Llc NPPES

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

IRIS PEDIATRICS, LLC (NPI 1376903211) is a healthcare organization registered as a primary care in Holmdel, New Jersey and active in the NPI registry since March 2016. The organization holds a CLIA Waiver certificate valid through August 24, 2028 and lists Yelena Potylitsina, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1376903211
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameIRIS PEDIATRICS, LLC
Location Address702 N BEERS ST, SUITE 1Holmdel, NJ 07733-1520
Mailing Address702 N Beers St, Suite 1Holmdel, NJ 07733-1520 · (732) 862-0200
Phone(732) 862-0200
Organization SubpartNo
Authorized OfficialYelena PotylitsinaMedical Director · (732) 862-0200
Enumeration DateMarch 4, 2016
✔ NPI 1376903211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in NJ · 25MA08017300
702 N BEERS ST, Holmdel, NJ 07733
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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 31D2349658

Iris Pediatrics LLC · Holmdel, NJ
Active · expires Aug 24, 2028
CLIA Number31D2349658
Laboratory TypePhysician Office
Certificate Effective DateAugust 25, 2026
Certificate Expiration DateAugust 24, 2028
Laboratory DirectorYelena Potylitsina
Laboratory Phone(732) 862-0200
Laboratory LocationIris Pediatrics LLC702 N Beers Ste 1, Holmdel, NJ 07733
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 6

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

STEPHEN JOHN LOIHLE D.C.
Chiropractor
702 N BEERS ST, SUITE 8
HOLMDEL, NJ 07733
Monmouth County (732) 739-0040
STEPHEN J. LOIHLE
Chiropractor
702 N BEERS ST, SUITE 8
HOLMDEL, NJ 07733
Monmouth County (732) 739-0040
DR. SONALEE P KAPOOR DMD
Dentist (Orthodontics and Dentofacial Orthopedics)
702 N BEERS ST, SUITE3
HOLMDEL, NJ 07733
Monmouth County (732) 739-3535
DR. KENNETH W GROMAN DMD
Dentist (Pediatric Dentistry)
702 N BEERS ST, SUITE 3
HOLMDEL, NJ 07733
Monmouth County (732) 739-3535
DR. ROBERT G LEHMAN D.C.
Chiropractor
702 N BEERS ST, SUITE 8
HOLMDEL, NJ 07733
Monmouth County (732) 888-0044
CENTRAL JERSEY PULMONARY MEDICINE
Internal Medicine (Pulmonary Disease)
702 N BEERS ST, SUITE 2
HOLMDEL, NJ 07733
Monmouth County (732) 264-7755

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 Iris Pediatrics, LLC's NPI number?

The NPI number for Iris Pediatrics, LLC is 1376903211. It was assigned to this organization in the NPPES registry on March 4, 2016.

Where is Iris Pediatrics, LLC located?

Iris Pediatrics, LLC is located at 702 N Beers St Suite 1, Holmdel, NJ 07733. The listed phone number is (732) 862-0200.

What is Iris Pediatrics, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Iris Pediatrics, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2349658) is associated with this NPI, valid through August 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Iris Pediatrics, LLC was last updated on March 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.