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PEDIATRICS ON BROADWAY
NPI 1811019995
Pediatrics - Adolescent Medicine in Denville, NJ

Active since April 06, 2007CLIA 31D2178413 · Waiver
10 BROADWAY, DENVILLE, NJ 07834(973) 625-7734(973) 625-4821 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pediatrics On Broadway NPPES

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

PEDIATRICS ON BROADWAY (NPI 1811019995) is a healthcare organization registered as an adolescent medicine in Denville, New Jersey and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through February 2, 2028 and lists Richard Dicker, President, as its authorized official.

NPPES Registry Identity

NPI1811019995
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NamePEDIATRICS ON BROADWAY
Location Address10 BROADWAYDenville, NJ 07834-2704
Mailing Address10 BroadwayDenville, NJ 07834-2704 · (973) 625-7734 · Fax (973) 625-4821
Phone(973) 625-7734
Fax(973) 625-4821
Organization SubpartNo
Authorized OfficialRichard DickerPresident · (973) 625-7734
Enumeration DateApril 6, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1811019995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
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.
10 BROADWAY, Denville, NJ 07834
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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 31D2178413

Pediatrics On Broadway · Denville, NJ
Active · expires Feb 2, 2028
CLIA Number31D2178413
Laboratory TypePhysician Office
Certificate Effective DateFebruary 3, 2026
Certificate Expiration DateFebruary 2, 2028
Laboratory DirectorRichard Dicker
Laboratory Phone(856) 782-3300
Laboratory LocationPediatrics On Broadway10 Broadway, Denville, NJ 07834
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 8

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

RICHARD MARFUGGI MD LLC
Plastic Surgery
10 BROADWAY
DENVILLE, NJ 07834
Morris County (973) 377-8950
DENVILLE CHIROPRACTIC ASSOCIATES, LLC.
Chiropractor
10 BROADWAY
DENVILLE, NJ 07834
Morris County (973) 627-1111
DR. RICHARD ANTHONY MARFUGGI MD, DMH
Plastic Surgery
10 BROADWAY
DENVILLE, NJ 07834
Morris County (973) 377-8950
DR. RICHARD I DICKER M.D.
Pediatrics (Adolescent Medicine)
10 BROADWAY
DENVILLE, NJ 07834
Morris County (973) 625-7734
CARLY LYNN GEORGIANNA FNP-BC
Nurse Practitioner (Family)
10 BROADWAY
DENVILLE, NJ 07834
Morris County (973) 625-7734
DR. SUZANNE V DI TURI M.D.
Pediatrics (Adolescent Medicine)
10 BROADWAY
DENVILLE, NJ 07834
Morris County (973) 625-7734
STUART LESLIE ISLER DMD
Dentist (Pediatric Dentistry)
10 BROADWAY
DENVILLE, NJ 07834
Morris County (973) 625-1234
ROBERT DE CRISTOFANO M.D.
Specialist
10 BROADWAY
DENVILLE, NJ 07834
Morris County (973) 625-7734

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 Pediatrics On Broadway's NPI number?

The NPI number for Pediatrics On Broadway is 1811019995. It was assigned to this organization in the NPPES registry on April 6, 2007.

Where is Pediatrics On Broadway located?

Pediatrics On Broadway is located at 10 Broadway, Denville, NJ 07834. The listed phone number is (973) 625-7734.

What is Pediatrics On Broadway's specialty?

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

Does Pediatrics On Broadway hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2178413) is associated with this NPI, valid through February 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pediatrics On Broadway was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.