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KOALA PEDIATRICS
NPI 1740842962
Pediatrics in Randolph, NJ

Active since July 09, 2019CLIA 31D2168834 · Waiver
121 CENTER GROVE RD STE 15, RANDOLPH, NJ 07869(973) 361-4900(973) 361-1842 Get Directions Write a Review

NPPES record last updated: July 9, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Koala Pediatrics NPPES

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

KOALA PEDIATRICS (NPI 1740842962) is a healthcare organization registered as a pediatrics in Randolph, New Jersey and active in the NPI registry since July 2019. The organization holds a CLIA Waiver certificate valid through July 9, 2027 and lists Fiona Pakonis, Physician, as its authorized official.

NPPES Registry Identity

NPI1740842962
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameKOALA PEDIATRICS
Location Address121 CENTER GROVE RD STE 15Randolph, NJ 07869-4453
Mailing Address121 Center Grove Rd Ste 15Randolph, NJ 07869-4453 · (973) 361-4900 · Fax (973) 361-1842
Phone(973) 361-4900
Fax(973) 361-1842
Organization SubpartNo
Authorized OfficialFiona PakonisPhysician · (973) 361-4900
Enumeration DateJuly 9, 2019
✔ NPI 1740842962 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.
121 CENTER GROVE RD STE 15, Randolph, NJ 07869
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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

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 31D2168834

Koala Pediatrics · Randolph, NJ
Active · expires Jul 9, 2027
CLIA Number31D2168834
Laboratory TypePhysician Office
Certificate Effective DateJuly 10, 2025
Certificate Expiration DateJuly 9, 2027
Laboratory DirectorFiona Pakonis
Laboratory Phone(973) 361-4900
Laboratory LocationKoala Pediatrics121 Center Grove Road, Randolph, NJ 07869
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

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

DR. FIONA PAKONIS M.D.
Pediatrics
121 CENTER GROVE RD STE 15
RANDOLPH, NJ 07869
Morris County (973) 361-4900

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 Koala Pediatrics's NPI number?

The NPI number for Koala Pediatrics is 1740842962. It was assigned to this organization in the NPPES registry on July 9, 2019.

Where is Koala Pediatrics located?

Koala Pediatrics is located at 121 Center Grove Rd Ste 15, Randolph, NJ 07869. The listed phone number is (973) 361-4900.

What is Koala Pediatrics's specialty?

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

Does Koala Pediatrics hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2168834) is associated with this NPI, valid through July 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 Koala Pediatrics was last updated on July 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.