MAPLE AVENUE PEDIATRICS
NPI 1619932522
Pediatrics in Fairlawn, NJ

Active since April 20, 2006CLIA 31D2181423 · Waiver
23-00 RT 208 S, MAPLE AVE PEDIATRICS, FAIRLAWN, NJ 07410(201) 797-1900(201) 797-4457 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Maple Avenue Pediatrics NPPES

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

MAPLE AVENUE PEDIATRICS (NPI 1619932522) is a healthcare organization registered as a pediatrics in Fairlawn, New Jersey and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through April 2, 2028 and lists Toja Gail Yellin, Secretary, as its authorized official.

NPPES Registry Identity

NPI1619932522
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameMAPLE AVENUE PEDIATRICS
Location Address23-00 RT 208 S, MAPLE AVE PEDIATRICSFairlawn, NJ 07410
Mailing Address23-00 Rt 208 S, Maple Ave PediatricsFairlawn, NJ 07410 · (201) 797-1900 · Fax (201) 797-4457
Fax(201) 797-4457
Organization SubpartNo
Authorized OfficialToja Gail YellinSecretary · (201) 797-1900
Enumeration DateApril 20, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1619932522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
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.

23-00 RT 208 S, Fairlawn, NJ 07410

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 31D2181423

Maple Ave Pediatrics · Fair Lawn, NJ
Active · expires Apr 2, 2028
CLIA Number31D2181423
Laboratory TypePhysician Office
Certificate Effective DateApril 3, 2026
Certificate Expiration DateApril 2, 2028
Laboratory DirectorKathleen Greaney
Laboratory Phone(201) 797-1900
Laboratory LocationMaple Ave Pediatrics23-00 Rt 208 South, Fair Lawn, NJ 07410
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 3

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

Pediatrics
23-00 RT 208 S
FAIR LAWN, NJ 07410
Pediatrics
23-00 RT 208 S, MAPLE AVE PEDIATRICS
FAIRLAWN, NJ 07410
Pediatrics
23-00 RT 208 S, MAPLE AVE PEDIATRICS
FAIRLAWN, NJ 07410

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 Maple Avenue Pediatrics's NPI number?

The NPI number for Maple Avenue Pediatrics is 1619932522. It was assigned to this organization in the NPPES registry on April 20, 2006.

Where is Maple Avenue Pediatrics located?

Maple Avenue Pediatrics is located at 23-00 Rt 208 S Maple Ave Pediatrics, Fairlawn, NJ 07410. The listed phone number is (201) 797-1900.

What is Maple Avenue Pediatrics's specialty?

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

Does Maple Avenue Pediatrics hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2181423) is associated with this NPI, valid through April 2, 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 Maple Avenue Pediatrics was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.