EAST AURORA PEDIATRICS
NPI 1447212139
Pediatrics - Adolescent Medicine in East Aurora, NY

Active since April 06, 2006CLIA 33D0168876 · Waiver
94 OLEAN ST, EAST AURORA, NY 14052(716) 652-0237(716) 652-0983 Get Directions Write a Review

NPPES record last updated: July 20, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About East Aurora Pediatrics NPPES

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

EAST AURORA PEDIATRICS (NPI 1447212139) is a healthcare organization registered as an adolescent medicine in East Aurora, New York and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Barbara J Jordan, Certified Medical Office Manager, as its authorized official.

NPPES Registry Identity

NPI1447212139
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NameEAST AURORA PEDIATRICS
Location Address94 OLEAN STEast Aurora, NY 14052-2531
Mailing Address94 Olean StEast Aurora, NY 14052-2531 · (716) 652-0237 · Fax (716) 652-0983
Fax(716) 652-0983
Organization SubpartNo
Authorized OfficialBarbara J JordanCertified Medical Office Manager · (716) 652-0237
Enumeration DateApril 6, 2006
Last NPPES UpdateJuly 20, 2010
NPI 1447212139 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.

94 OLEAN ST, East Aurora, NY 14052

Other Identifiers 6

Other1528063039NY · Md
Other1124023650NY · Pnp
Other1437121480NY · Md
Other1417952920NY · Pnp
Other1982609491NY · Md
Other1568467090NY · Md

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 33D0168876

East Aurora Pediatrics PC · East Aurora, NY
Active · expires Mar 26, 2027
CLIA Number33D0168876
Laboratory TypePhysician Office
Certificate Effective DateMarch 27, 2025
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Anju Gupta
Laboratory Phone(716) 652-0237
Laboratory LocationEast Aurora Pediatrics PC94 Olean Street, Suite 210, East Aurora, NY 14052
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 11

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

Licensed Practical Nurse
94 OLEAN ST, STE 210
EAST AURORA, NY 14052
Podiatrist
94 OLEAN ST, SUITE 214
EAST AURORA, NY 14052
Specialist/Technologist (Athletic Trainer)
94 OLEAN ST
EAST AURORA, NY 14052
Nurse Practitioner
94 OLEAN ST, STE 210
EAST AURORA, NY 14052
Pediatrics
94 OLEAN ST, SUITE 210
EAST AURORA, NY 14052
Pediatrics
94 OLEAN ST
EAST AURORA, NY 14052
Pediatrics (Adolescent Medicine)
94 OLEAN ST, STE 210
EAST AURORA, NY 14052
Pediatrics (Adolescent Medicine)
94 OLEAN ST, STE 210
EAST AURORA, NY 14052

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 East Aurora Pediatrics's NPI number?

The NPI number for East Aurora Pediatrics is 1447212139. It was assigned to this organization in the NPPES registry on April 6, 2006.

Where is East Aurora Pediatrics located?

East Aurora Pediatrics is located at 94 Olean St, East Aurora, NY 14052. The listed phone number is (716) 652-0237.

What is East Aurora Pediatrics's specialty?

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

Does East Aurora Pediatrics hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0168876) is associated with this NPI, valid through March 26, 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 East Aurora Pediatrics was last updated on July 20, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.