WESTFIELD PEDIATRIC GROUP
NPI 1730238700
Preferred Provider Organization in Westfield, NJ

Q: What is Westfield Pediatric Group's NPI number?

The NPI number for Westfield Pediatric Group is 1730238700. It was assigned to this organization in the NPPES registry on January 9, 2007.

Q: What is Westfield Pediatric Group's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

Active since January 09, 2007CLIA 31D0107627 · Waiver

532 E BROAD ST, WESTFIELD, NJ 07090(908) 232-8077(908) 232-8447 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Aug 22, 2020 (2 updates tracked since 2020).

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About Westfield Pediatric Group NPPES

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

WESTFIELD PEDIATRIC GROUP (NPI 1730238700) is a healthcare organization registered as a preferred provider organization in Westfield, New Jersey and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through February 27, 2027 and lists Maryanne Boissonneault, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1730238700

Entity TypeOrganization

Primary Taxonomy305R00000X

Legal Business NameWESTFIELD PEDIATRIC GROUP

Location Address532 E BROAD STWestfield, NJ 07090-2116

Mailing Address532 E Broad StWestfield, NJ 07090-2116 · (908) 232-8077 · Fax (908) 232-8447

Phone(908) 232-8077

Fax(908) 232-8447

Organization SubpartNo

Authorized OfficialMaryanne BoissonneaultBilling Manager · (908) 232-8077

Enumeration DateJanuary 9, 2007

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1730238700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations

Taxonomy Code305R00000X

Definition

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

532 E BROAD ST, Westfield, NJ 07090

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Other Identifiers 1

Medicaid2722402NJ

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 31D0107627

Westfield Pediatrics · Westfield, NJ

Active · expires Feb 27, 2027

CLIA Number31D0107627

Laboratory TypePhysician Office

Certificate Effective DateFebruary 28, 2025

Certificate Expiration DateFebruary 27, 2027

Laboratory DirectorJohn C. Cavuto MD

Laboratory Phone(908) 233-6473

Laboratory LocationWestfield Pediatrics532 E Broad, Westfield, NJ 07090

CLIA data matches this NPI record on: Address

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

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

MRS. ROBERTA C SCUDDER MSN,RN,NP,C

Registered Nurse (Pediatrics)