KINNELON MEDICAL & PEDIATRIC ASSOCIATES, PA
NPI 1760528681
Family Medicine in Kinnelon, NJ

Q: What is Kinnelon Medical & Pediatric Associates, PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since January 29, 2007CLIA 31D0675903 · Waiver

170 KINNELON RD STE 28, KINNELON, NJ 07405(973) 838-1717(973) 838-1775 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

On this page

About Kinnelon Medical & Pediatric Associates, Pa NPPES

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

KINNELON MEDICAL & PEDIATRIC ASSOCIATES, PA (NPI 1760528681) is a healthcare organization registered as a family medicine in Kinnelon, New Jersey and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through December 21, 2026 and lists Abhay K Suda, President, as its authorized official.

NPPES Registry Identity

NPI1760528681

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameKINNELON MEDICAL & PEDIATRIC ASSOCIATES, PA

Location Address170 KINNELON RD STE 28Kinnelon, NJ 07405-2347

Mailing Address170 Kinnelon Rd Ste 28Kinnelon, NJ 07405-2347 · (973) 838-1717 · Fax (973) 838-1775

Phone(973) 838-1717

Fax(973) 838-1775

Organization SubpartNo

Authorized OfficialAbhay K SudaPresident · (973) 838-1717

Enumeration DateJanuary 29, 2007

Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration

✔ NPI 1760528681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NJ · 25MA08006300

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X · License MA34985 (NJ)

Also ListedPediatricsTaxonomy 208000000X · License MA43353 (NJ)

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 31D0675903

Kinnelon Medical & Pediatric Assoc · Kinnelon, NJ

Active · expires Dec 21, 2026

CLIA Number31D0675903

Laboratory TypePhysician Office

Certificate Effective DateDecember 22, 2024

Certificate Expiration DateDecember 21, 2026

Laboratory DirectorAbhay K. Suda

Laboratory Phone(973) 838-1717

Laboratory LocationKinnelon Medical & Pediatric Assoc170 Kinnelon Road, Kinnelon, NJ 07405

CLIA data matches this NPI record on: Address Name Phone

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 Kinnelon Medical & Pediatric Associates, PA's NPI number?

The NPI number for Kinnelon Medical & Pediatric Associates, PA is 1760528681. It was assigned to this organization in the NPPES registry on January 29, 2007.

Where is Kinnelon Medical & Pediatric Associates, PA located?

Kinnelon Medical & Pediatric Associates, PA is located at 170 Kinnelon Rd Ste 28, Kinnelon, NJ 07405. The listed phone number is (973) 838-1717.

What is Kinnelon Medical & Pediatric Associates, PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Kinnelon Medical & Pediatric Associates, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D0675903) is associated with this NPI, valid through December 21, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kinnelon Medical & Pediatric Associates, PA was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.