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PINELANDS PEDIATRIC MEDICINE LLC
NPI 1790132140
Pediatrics in Sicklerville, NJ

Active since May 16, 2016CLIA 31D2048103 · Waiver
1303 LIBERTY PL, SICKLERVILLE, NJ 08081(856) 885-4854(856) 885-4896 Get Directions Write a Review

NPPES record last updated: May 16, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pinelands Pediatric Medicine Llc NPPES

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

PINELANDS PEDIATRIC MEDICINE LLC (NPI 1790132140) is a healthcare organization registered as a pediatrics in Sicklerville, New Jersey and active in the NPI registry since May 2016. The organization holds a CLIA Waiver certificate valid through October 9, 2026 and lists Sharon Kaus, Owner, as its authorized official.

NPPES Registry Identity

NPI1790132140
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePINELANDS PEDIATRIC MEDICINE LLC
Location Address1303 LIBERTY PLSicklerville, NJ 08081-5710
Mailing Address1303 Liberty PlSicklerville, NJ 08081-5710 · (856) 885-4854 · Fax (856) 885-4896
Phone(856) 885-4854
Fax(856) 885-4896
Organization SubpartNo
Authorized OfficialSharon KausOwner · (856) 885-4854
Enumeration DateMay 16, 2016
✔ NPI 1790132140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NJ · 25MB08379900
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.
1303 LIBERTY PL, Sicklerville, NJ 08081
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Other Identifiers 1

Medicaid167193NJ

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 31D2048103

Pinelands Pediatric Medicine · Sicklerville, NJ
Active · expires Oct 9, 2026
CLIA Number31D2048103
Laboratory TypePhysician Office
Certificate Effective DateOctober 10, 2024
Certificate Expiration DateOctober 9, 2026
Laboratory DirectorSharon Kavs
Laboratory Phone(856) 885-4854
Laboratory LocationPinelands Pediatric Medicine1303 Liberty Pl, Sicklerville, NJ 08081
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 2

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

SHARON M KAUS DO
Pediatrics
1303 LIBERTY PL
SICKLERVILLE, NJ 08081
Camden County (856) 885-4854
DR. KATHRYN STUFFO D.O.
Pediatrics
1303 LIBERTY PL
SICKLERVILLE, NJ 08081
Camden County (856) 885-4584

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 Pinelands Pediatric Medicine LLC's NPI number?

The NPI number for Pinelands Pediatric Medicine LLC is 1790132140. It was assigned to this organization in the NPPES registry on May 16, 2016.

Where is Pinelands Pediatric Medicine LLC located?

Pinelands Pediatric Medicine LLC is located at 1303 Liberty Pl, Sicklerville, NJ 08081. The listed phone number is (856) 885-4854.

What is Pinelands Pediatric Medicine LLC's specialty?

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

Does Pinelands Pediatric Medicine LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2048103) is associated with this NPI, valid through October 9, 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 Pinelands Pediatric Medicine LLC was last updated on May 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.