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PEDIATRIC ASSOCIATES OF KINGSTON, LLC
NPI 1831201276
Pediatrics in Kingston, PA

Active since August 31, 2006CLIA Certified · 3 labs
451 3RD AVE STE 1, KINGSTON, PA 18704(570) 288-6543(570) 288-7130 Get Directions Write a Review

NPPES record last updated: April 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 21, 2021, Jul 11, 2019, Mar 28, 2017 and 1 more (4 updates tracked since 2017).

About Pediatric Associates Of Kingston, Llc NPPES

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

PEDIATRIC ASSOCIATES OF KINGSTON, LLC (NPI 1831201276) is a healthcare organization registered as a pediatrics in Kingston, Pennsylvania and active in the NPI registry since August 2006. The organization holds 3 active CLIA laboratory certificates, maintains a secondary practice location in Pittston, and lists Jr Vought, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1831201276
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePEDIATRIC ASSOCIATES OF KINGSTON, LLC
Location Address451 3RD AVE STE 1Kingston, PA 18704-5802
Mailing Address451 3rd AveKingston, PA 18704-5802 · (570) 288-6543 · Fax (570) 288-7130
Phone(570) 288-6543
Fax(570) 288-7130
Organization SubpartNo
Authorized OfficialJr VoughtPractice Manager · (570) 288-6543
Enumeration DateAugust 31, 2006
Last NPPES UpdateApril 21, 20214 updates tracked since enumeration
NPPES CertifiedApril 21, 2021
✔ NPI 1831201276 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.
451 3RD AVE STE 1, Kingston, PA 18704
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Secondary Practice Location 1

Location 11081 Oak St Ste 1Pittston, PA 18640-3716 · Phone (570) 602-7257

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 3

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 39D2138236

Pediatric Associates Of Kingston In Pittston · Pittston, PA
Active · expires Oct 11, 2027
CLIA Number39D2138236
Laboratory TypePhysician Office
Certificate Effective DateOctober 12, 2025
Certificate Expiration DateOctober 11, 2027
Laboratory DirectorDr. Jeffery R. Kile
Laboratory Phone(570) 602-7257
Laboratory LocationPediatric Associates Of Kingston In Pittston1081 Oak St, Pittston, PA 18640
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 39D1017425

Pediatric Associates Of Kingston LLC · Kingston, PA
Active · expires Apr 7, 2027
CLIA Number39D1017425
Laboratory TypePhysician Office
Certificate Effective DateApril 8, 2025
Certificate Expiration DateApril 7, 2027
Laboratory DirectorDr. Jeffery R. Kile
Laboratory Phone(570) 288-6543
Laboratory LocationPediatric Associates Of Kingston LLC451 3rd Avenue, Kingston, PA 18704
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 39D2258639

Pediatric Associates Of Kingston In Clark Summit · Clarks Summit, PA
Active · expires Apr 24, 2028
CLIA Number39D2258639
Laboratory TypePhysician Office
Certificate Effective DateApril 25, 2026
Certificate Expiration DateApril 24, 2028
Laboratory DirectorDr. Jeffrey R. Kile
Laboratory Phone(570) 288-6543
Laboratory LocationPediatric Associates Of Kingston In Clark Summit1212 S Abington Blvd, Clarks Summit, PA 18411
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

JEFFERY R KILE MD
Pediatrics
451 3RD AVE STE 1
KINGSTON, PA 18704
Luzerne County (570) 288-6543
DR. ALVARO G REYMUNDE M.D
Pediatrics
451 3RD AVE STE 1
KINGSTON, PA 18704
Luzerne County (570) 288-6543
AMY LOUISE FLAHERTY PA-C
Physician Assistant (Medical)
451 3RD AVE STE 1
KINGSTON, PA 18704
Luzerne County (570) 288-6543
ALYCIA MARIE COAR
Physician Assistant (Medical)
451 3RD AVE STE 1
KINGSTON, PA 18704
Luzerne County (570) 288-6543
DR. JENNIFER ELIZABETH WELGOSH PHD., EDS.
Psychologist (School)
451 3RD AVE STE 1
KINGSTON, PA 18704
Luzerne County (570) 288-6543
KRISTI NEJMAN LSW
Social Worker (Clinical)
451 3RD AVE STE 1
KINGSTON, PA 18704
Luzerne County (215) 584-6341

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 Pediatric Associates Of Kingston, LLC's NPI number?

The NPI number for Pediatric Associates Of Kingston, LLC is 1831201276. It was assigned to this organization in the NPPES registry on August 31, 2006.

Where is Pediatric Associates Of Kingston, LLC located?

Pediatric Associates Of Kingston, LLC is located at 451 3rd Ave Ste 1, Kingston, PA 18704. The listed phone number is (570) 288-6543.

What is Pediatric Associates Of Kingston, LLC's specialty?

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

Does Pediatric Associates Of Kingston, LLC hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Pediatric Associates Of Kingston, LLC was last updated on April 21, 2021. 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.