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FORESTSTREAM PEDIATRICS, LLP
NPI 1407813058
Pediatrics - Adolescent Medicine in Lancaster, NY

Active since April 27, 2006CLIA 33D1009336 · Waiver
4711 TRANSIT RD, LANCASTER, NY 14043(716) 668-5331(716) 668-5370 Get Directions Write a Review

NPPES record last updated: August 26, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Foreststream Pediatrics, Llp NPPES

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

FORESTSTREAM PEDIATRICS, LLP (NPI 1407813058) is a healthcare organization registered as an adolescent medicine in Lancaster, New York and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through February 11, 2027 and lists Kimberly Prise, President, as its authorized official.

NPPES Registry Identity

NPI1407813058
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NameFORESTSTREAM PEDIATRICS, LLP
Location Address4711 TRANSIT RDLancaster, NY 14043-4888
Mailing Address4711 Transit RdLancaster, NY 14043-4888 · (716) 668-5331 · Fax (716) 668-5370
Phone(716) 668-5331
Fax(716) 668-5370
Organization SubpartNo
Authorized OfficialKimberly PrisePresident · (716) 668-5331
Enumeration DateApril 27, 2006
Last NPPES UpdateAugust 26, 2011
✔ NPI 1407813058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

4711 TRANSIT RD, Lancaster, NY 14043
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Other Identifiers 2

Medicare PINAA1483NY
Medicaid02366498NY

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 33D1009336

Forestream Pediatrics LLP · Depew, NY
Active · expires Feb 11, 2027
CLIA Number33D1009336
Laboratory TypePhysician Office
Certificate Effective DateFebruary 12, 2025
Certificate Expiration DateFebruary 11, 2027
Laboratory DirectorDr. Kimberly B. Prise
Laboratory Phone(716) 668-5331
Laboratory LocationForestream Pediatrics LLP4711 Transit Road, Depew, NY 14043
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

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

ROBERT J SCHULMAN M.D.
Pediatrics
4711 TRANSIT RD
LANCASTER, NY 14043
Erie County (716) 668-5331
MR. ANTHONY GEORGE NIGRO JR. LMHC
Counselor (Mental Health)
4711 TRANSIT RD, FORESTREAM PLAZA SUITE 3
DEPEW, NY 14043
Erie County (716) 706-5921
WENDY GELLMAN M.D.
Pediatrics
4711 TRANSIT RD
LANCASTER, NY 14043
Erie County (716) 668-5331
CHELSEA R DENUE P.A.
Physician Assistant
4711 TRANSIT RD, SUITE 1
DEPEW, NY 14043
Erie County (716) 668-5331
JILL KACZMAREK N.P.
Nurse Practitioner
4711 TRANSIT RD
LANCASTER, NY 14043
Erie County (716) 668-5331
DR. JENNIFER LYNN YUNKER MD
Pediatrics
4711 TRANSIT RD, SUITE 1
DEPEW, NY 14043
Erie County (716) 668-5331
GRACE I. CLARK-BURCH LCSW-R
Social Worker (Clinical)
4711 TRANSIT RD, SUITE 3 FORESTREAM VILLAGE
DEPEW, NY 14043
Erie County (716) 706-5921
LANCASTER RADIOLOGY PC
Radiology (Diagnostic Radiology)
4711 TRANSIT RD
DEPEW, NY 14043
Erie County (716) 688-4600

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 Foreststream Pediatrics, LLP's NPI number?

The NPI number for Foreststream Pediatrics, LLP is 1407813058. It was assigned to this organization in the NPPES registry on April 27, 2006.

Where is Foreststream Pediatrics, LLP located?

Foreststream Pediatrics, LLP is located at 4711 Transit Rd, Lancaster, NY 14043. The listed phone number is (716) 668-5331.

What is Foreststream Pediatrics, LLP's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Does Foreststream Pediatrics, LLP hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D1009336) is associated with this NPI, valid through February 11, 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 Foreststream Pediatrics, LLP was last updated on August 26, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.