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PEDIATRICS OF ST. AUGUSTINE
NPI 1457565947
Pediatrics in St Augustine, FL

Active since May 10, 2007CLIA 10D2072291 · Waiver
2676 US HIGHWAY 1 S, ST AUGUSTINE, FL 32086(904) 797-2121 Get Directions Write a Review

NPPES record last updated: July 12, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pediatrics Of St. Augustine NPPES

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

PEDIATRICS OF ST. AUGUSTINE (NPI 1457565947) is a healthcare organization registered as a pediatrics in St Augustine, Florida and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through January 27, 2028 and lists Aliya M Yasin, President, as its authorized official.

NPPES Registry Identity

NPI1457565947
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePEDIATRICS OF ST. AUGUSTINE
Location Address2676 US HIGHWAY 1 SSt Augustine, FL 32086-6191
Mailing Address2676 Us Highway 1 SSt Augustine, FL 32086-6191 · (904) 797-2121
Phone(904) 797-2121
Organization SubpartNo
Authorized OfficialAliya M YasinPresident · (904) 797-2121
Enumeration DateMay 10, 2007
Last NPPES UpdateJuly 12, 2007
✔ NPI 1457565947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in FL · ME87309
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.
2676 US HIGHWAY 1 S, St Augustine, FL 32086
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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 10D2072291

Pediatrica Of St Augustine South · Saint Augustine, FL
Active · expires Jan 27, 2028
CLIA Number10D2072291
Laboratory TypePhysician Office
Certificate Effective DateJanuary 28, 2026
Certificate Expiration DateJanuary 27, 2028
Laboratory DirectorDr. Caroline Perkowski
Laboratory Phone(904) 797-2121
Laboratory LocationPediatrica Of St Augustine South2676 Us -1, Saint Augustine, FL 32086
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

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

ALIYA YASIN MD
Pediatrics (Adolescent Medicine)
2676 US HIGHWAY 1 S
ST AUGUSTINE, FL 32086
St. Johns County (904) 797-2121

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 Pediatrics Of St. Augustine's NPI number?

The NPI number for Pediatrics Of St. Augustine is 1457565947. It was assigned to this organization in the NPPES registry on May 10, 2007.

Where is Pediatrics Of St. Augustine located?

Pediatrics Of St. Augustine is located at 2676 Us Highway 1 S, St Augustine, FL 32086. The listed phone number is (904) 797-2121.

What is Pediatrics Of St. Augustine's specialty?

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

Does Pediatrics Of St. Augustine hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2072291) is associated with this NPI, valid through January 27, 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 Pediatrics Of St. Augustine was last updated on July 12, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.