PRIMECARE PEDIATRICS, P.C
NPI 1619074820
Pediatrics - Adolescent Medicine in Wallington, NJ

Active since September 20, 2006CLIA 31D0718473 · Waiver
42 LOCUST AVE, WALLINGTON, NJ 07057(973) 473-4033(973) 473-2988 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Primecare Pediatrics, P.c NPPES

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

PRIMECARE PEDIATRICS, P.C (NPI 1619074820) is a healthcare organization registered as an adolescent medicine in Wallington, New Jersey and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through August 9, 2027 and lists Stanislaw Sliwowski, President, as its authorized official.

NPPES Registry Identity

NPI1619074820
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NamePRIMECARE PEDIATRICS, P.C
Location Address42 LOCUST AVEWallington, NJ 07057-1300
Mailing Address42 Locust AveWallington, NJ 07057-1300 · (973) 473-4033 · Fax (973) 473-2988
Fax(973) 473-2988
Organization SubpartNo
Authorized OfficialStanislaw SliwowskiPresident · (973) 473-4033
Enumeration DateSeptember 20, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1619074820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License Licensed in NJ · 25MA04953900
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.
42 LOCUST AVE, Wallington, NJ 07057

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 31D0718473

Prime Care Pediatrics PC · Wallington, NJ
Active · expires Aug 9, 2027
CLIA Number31D0718473
Laboratory TypePhysician Office
Certificate Effective DateAugust 10, 2025
Certificate Expiration DateAugust 9, 2027
Laboratory DirectorStanislaw Sliwowski
Laboratory Phone(973) 473-4033
Laboratory LocationPrime Care Pediatrics PC42 Locust Avenue, Wallington, NJ 07057
CLIA data matches this NPI record on: Address 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.

Urology
42 LOCUST AVE
WALLINGTON, NJ 07057
Pediatrics
42 LOCUST AVE
WALLINGTON, NJ 07057
Pediatrics (Adolescent Medicine)
42 LOCUST AVE
WALLINGTON, NJ 07057
Pediatrics (Adolescent Medicine)
42 LOCUST AVE
WALLINGTON, NJ 07057
Pediatrics (Adolescent Medicine)
42 LOCUST AVE
WALLINGTON, NJ 07057
Pediatrics (Adolescent Medicine)
42 LOCUST AVE
WALLINGTON, NJ 07057
Dermatology
42 LOCUST AVE
WALLINGTON, NJ 07057
Dentist
42 LOCUST AVE
WALLINGTON, NJ 07057

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 Primecare Pediatrics, P.C's NPI number?

The NPI number for Primecare Pediatrics, P.C is 1619074820. It was assigned to this organization in the NPPES registry on September 20, 2006.

Where is Primecare Pediatrics, P.C located?

Primecare Pediatrics, P.C is located at 42 Locust Ave, Wallington, NJ 07057. The listed phone number is (973) 473-4033.

What is Primecare Pediatrics, P.C's specialty?

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

Does Primecare Pediatrics, P.C hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D0718473) is associated with this NPI, valid through August 9, 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 Primecare Pediatrics, P.C was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.