CEDAR PEDIATRICS PLLC
NPI 1639685464
Clinic/Center - Primary Care in Buffalo, NY

Active since December 15, 2017CLIA 33D2142025 · Waiver
1010 MAIN ST, BUFFALO, NY 14202(716) 570-0524 Get Directions Write a Review

NPPES record last updated: December 15, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cedar Pediatrics Pllc NPPES

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

CEDAR PEDIATRICS PLLC (NPI 1639685464) is a healthcare organization registered as a primary care in Buffalo, New York and active in the NPI registry since December 2017. The organization holds a CLIA Waiver certificate valid through January 1, 2028 and lists Stephanie Fretz, Owner, as its authorized official.

NPPES Registry Identity

NPI1639685464
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCEDAR PEDIATRICS PLLC
Location Address1010 MAIN STBuffalo, NY 14202-1102
Mailing Address120 Berryman DrAmherst, NY 14226-4374
Organization SubpartNo
Authorized OfficialStephanie FretzOwner · (716) 570-0524
Enumeration DateDecember 15, 2017
NPI 1639685464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in NY · 200115-1
1010 MAIN ST, Buffalo, NY 14202

Other Identifiers 1

Medicaid01650600NY

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 33D2142025

Cedar Pediatrics PLLC · Buffalo, NY
Active · expires Jan 1, 2028
CLIA Number33D2142025
Laboratory TypePhysician Office
Certificate Effective DateJanuary 2, 2026
Certificate Expiration DateJanuary 1, 2028
Laboratory DirectorDr. Stephanie Fretz
Laboratory Phone(716) 570-0524
Laboratory LocationCedar Pediatrics PLLC1010 Main Street, Buffalo, NY 14202
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 19

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

Psychiatry & Neurology (Psychiatry)
1010 MAIN ST
BUFFALO, NY 14202
General Acute Care Hospital
1010 MAIN ST
BUFFALO, NY 14202
Psychologist (Addiction (Substance Use Disorder))
1010 MAIN ST
BUFFALO, NY 14202
Social Worker
1010 MAIN ST
BUFFALO, NY 14202
Counselor (Mental Health)
1010 MAIN ST
BUFFALO, NY 14202
Social Worker (Clinical)
1010 MAIN ST
BUFFALO, NY 14202
Psychiatry & Neurology (Neurology)
1010 MAIN ST
BUFFALO, NY 14202
Psychiatry & Neurology (Neurology)
1010 MAIN ST
BUFFALO, NY 14202

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 Cedar Pediatrics PLLC's NPI number?

The NPI number for Cedar Pediatrics PLLC is 1639685464. It was assigned to this organization in the NPPES registry on December 15, 2017.

Where is Cedar Pediatrics PLLC located?

Cedar Pediatrics PLLC is located at 1010 Main St, Buffalo, NY 14202. The listed phone number is (716) 570-0524.

What is Cedar Pediatrics PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Cedar Pediatrics PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2142025) is associated with this NPI, valid through January 1, 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 Cedar Pediatrics PLLC was last updated on December 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.