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ADVANCED PEDIATRIC CARE
NPI 1619325784
Pediatrics in Jacksonville, FL

Active since May 31, 2016CLIA 10D2113953 · Waiver
943 CESERY BLVD BLDG G, JACKSONVILLE, FL 32211(904) 861-1330(904) 600-0402 Get Directions Write a Review

NPPES record last updated: March 15, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Advanced Pediatric Care NPPES

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

ADVANCED PEDIATRIC CARE (NPI 1619325784) is a healthcare organization registered as a pediatrics in Jacksonville, Florida and active in the NPI registry since May 2016. The organization holds a CLIA Waiver certificate valid through June 2, 2028 and lists Noorjahan Ali, Owner, as its authorized official.

NPPES Registry Identity

NPI1619325784
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameADVANCED PEDIATRIC CARE
Location Address943 CESERY BLVD BLDG GJacksonville, FL 32211
Mailing Address943 Cesery Blvd Bldg GJacksonville, FL 32211 · (904) 861-1330 · Fax (904) 600-0402
Phone(904) 861-1330
Fax(904) 600-0402
Organization SubpartNo
Authorized OfficialNoorjahan AliOwner · (904) 861-1330
Enumeration DateMay 31, 2016
Last NPPES UpdateMarch 15, 2022
NPPES CertifiedMarch 15, 2022
✔ NPI 1619325784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in FL · 126160
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.
943 CESERY BLVD BLDG G, Jacksonville, FL 32211
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

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 10D2113953

Advanced Pediatric Care · Jacksonville, FL
Active · expires Jun 2, 2028
CLIA Number10D2113953
Laboratory TypePhysician Office
Certificate Effective DateJune 3, 2026
Certificate Expiration DateJune 2, 2028
Laboratory DirectorNoorjahan Ali
Laboratory Phone(904) 999-0501
Laboratory LocationAdvanced Pediatric Care943 Cesery Blvd Bldg G, Jacksonville, FL 32211
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Advanced Pediatric Care's NPI number?

The NPI number for Advanced Pediatric Care is 1619325784. It was assigned to this organization in the NPPES registry on May 31, 2016.

Where is Advanced Pediatric Care located?

Advanced Pediatric Care is located at 943 Cesery Blvd Bldg G, Jacksonville, FL 32211. The listed phone number is (904) 861-1330.

What is Advanced Pediatric Care's specialty?

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

Does Advanced Pediatric Care hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2113953) is associated with this NPI, valid through June 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Advanced Pediatric Care accept?

Health plans from Molina Healthcare list Advanced Pediatric Care as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Advanced Pediatric Care was last updated on March 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.