1. Home
  2. Directory
  3. New Jersey
  4. Holmdel
  5. Pediatrics
  6. NPI Profile

HOLMDEL PEDIATRICS, LLC
NPI 1760618383
Pediatrics - Adolescent Medicine in Holmdel, NJ

Active since June 10, 2009CLIA 31D2277042 · Waiver
719 N BEERS ST, SUITE 1E, HOLMDEL, NJ 07733(732) 290-1063(732) 739-9537 Get Directions Write a Review

NPPES record last updated: June 10, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Holmdel Pediatrics, Llc NPPES

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

HOLMDEL PEDIATRICS, LLC (NPI 1760618383) is a healthcare organization registered as an adolescent medicine in Holmdel, New Jersey and active in the NPI registry since June 2009. The organization holds a CLIA Waiver certificate valid through February 20, 2027 and lists Sowmini Kommireddi, President, as its authorized official.

NPPES Registry Identity

NPI1760618383
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NameHOLMDEL PEDIATRICS, LLC
Location Address719 N BEERS ST, SUITE 1EHolmdel, NJ 07733-1522
Mailing Address719 N Beers St, Suite 1eHolmdel, NJ 07733-1522 · (732) 290-1063 · Fax (732) 739-9537
Phone(732) 290-1063
Fax(732) 739-9537
Organization SubpartNo
Authorized OfficialSowmini KommireddiPresident · (732) 290-1063
Enumeration DateJune 10, 2009
✔ NPI 1760618383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in NJ · 25MA073809
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
719 N BEERS ST, Holmdel, NJ 07733
Open in Google Maps ↗

Other Identifiers 3

Other1518064260NJ · Npi
Medicaid9078502NJ
Other1154462604NJ · Npi

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 31D2277042

Holmdel Pediatrics LLC · Holmdel, NJ
Active · expires Feb 20, 2027
CLIA Number31D2277042
Laboratory TypePhysician Office
Certificate Effective DateFebruary 21, 2025
Certificate Expiration DateFebruary 20, 2027
Laboratory DirectorSowmini Kommireddi
Laboratory Phone(732) 739-4414
Laboratory LocationHolmdel Pediatrics LLC719 N Beers Street Suite 1E, Holmdel, NJ 07733
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

HOLMDEL PHYSICAL THERAPY AND SPORTS MEDICINE LLC
Physical Therapist
719 N BEERS ST, SUITE 2A
HOLMDEL, NJ 07733
Monmouth County (646) 996-1009
DR. VANDA BRUNER MD
Pediatrics (Adolescent Medicine)
719 N BEERS ST, SUITE 1A
HOLMDEL, NJ 07733
Monmouth County (732) 264-4646
DR. BERNADETTE MIGUELINO MD
Pediatrics
719 N BEERS ST, SUITE 1-E
HOLMDEL, NJ 07733
Monmouth County (732) 739-4414
CRITICAL CARE CONSULTANTS OF NEW JERSEY LLC
Internal Medicine (Critical Care Medicine)
719 N BEERS ST, SUITE 2 E & F
HOLMDEL, NJ 07733
Monmouth County (732) 264-1001
MRS. ELISABETH HOLTZER RD
Dietitian, Registered
719 N BEERS ST
HOLMDEL, NJ 07733
Monmouth County (646) 996-1009
DR. LEA HIPOLITO DAVID MD
Pediatrics
719 N BEERS ST, SUITE 1-E
HOLMDEL, NJ 07733
Monmouth County (732) 739-4414
DIVYA SAMBANDAN BHATNAGAR M.D.
Dermatology
719 N BEERS ST, SUITE 2G
HOLMDEL, NJ 07733
Monmouth County (732) 739-3223
DR. KUSUM MOHAN MD
Pediatrics
719 N BEERS ST, SUITE 1-E
HOLMDEL, NJ 07733
Monmouth County (732) 739-4414

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 Holmdel Pediatrics, LLC's NPI number?

The NPI number for Holmdel Pediatrics, LLC is 1760618383. It was assigned to this organization in the NPPES registry on June 10, 2009.

Where is Holmdel Pediatrics, LLC located?

Holmdel Pediatrics, LLC is located at 719 N Beers St Suite 1E, Holmdel, NJ 07733. The listed phone number is (732) 290-1063.

What is Holmdel Pediatrics, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Does Holmdel Pediatrics, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2277042) is associated with this NPI, valid through February 20, 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 Holmdel Pediatrics, LLC was last updated on June 10, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.