HACKENSACK PEDIATRICS
NPI 1831264316
Clinic/Center - Corporate Health in Hackensack, NJ

Active since November 21, 2006CLIA 31D0111661 · Waiver
177 SUMMIT AVE, HACKENSACK, NJ 07601(201) 487-8222(207) 487-2126 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Hackensack Pediatrics NPPES

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

HACKENSACK PEDIATRICS (NPI 1831264316) is a healthcare organization registered as a corporate health in Hackensack, New Jersey and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through September 19, 2027 and lists Mona M Tantawi, Presedent, as its authorized official.

NPPES Registry Identity

NPI1831264316
Entity TypeOrganization
Primary Taxonomy261QC1800X
Legal Business NameMONA M TANTAWI,MD,PC
Location Address177 SUMMIT AVEHackensack, NJ 07601-1311
Mailing Address177 Summit AveHackensack, NJ 07601-1311 · (201) 487-8222 · Fax (207) 487-2126
Fax(207) 487-2126
Organization SubpartNo
Authorized OfficialMona M TantawiPresedent · (201) 487-8222
Enumeration DateNovember 21, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1831264316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Corporate HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1800X
License Licensed in NJ · 25MA03599800
177 SUMMIT AVE, Hackensack, NJ 07601

Other Names 1

Doing Business AsHackensack Pediatrics

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 31D0111661

Hackensack Pediatrics · Hackensack, NJ
Active · expires Sep 19, 2027
CLIA Number31D0111661
Laboratory TypePhysician Office
Certificate Effective DateSeptember 20, 2025
Certificate Expiration DateSeptember 19, 2027
Laboratory DirectorMona M. Tantawi
Laboratory Phone(201) 487-8222
Laboratory LocationHackensack Pediatrics177 Summit Ave, Hackensack, NJ 07601
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 8

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

Pediatrics
177 SUMMIT AVE
HACKENSACK, NJ 07601
Nurse Practitioner (Pediatrics)
177 SUMMIT AVE
HACKENSACK, NJ 07601
Pediatrics (Adolescent Medicine)
177 SUMMIT AVE
HACKENSACK, NJ 07601
Pediatrics
177 SUMMIT AVE
HACKENSACK, NJ 07601
Pediatrics
177 SUMMIT AVE, HACKENSACK PEDIATRICS
HACKENSACK, NJ 07601
Pediatrics
177 SUMMIT AVE
HACKENSACK, NJ 07601
Pediatrics
177 SUMMIT AVE
HACKENSACK, NJ 07601
Pediatrics
177 SUMMIT AVE
HACKENSACK, NJ 07601

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 Mona M Tantawi,md,pc's NPI number?

The NPI number for Mona M Tantawi,md,pc is 1831264316. It was assigned to this organization in the NPPES registry on November 21, 2006. The provider is doing business as Hackensack Pediatrics.

Where is Mona M Tantawi,md,pc located?

Mona M Tantawi,md,pc is located at 177 Summit Ave, Hackensack, NJ 07601. The listed phone number is (201) 487-8222.

What is Mona M Tantawi,md,pc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Corporate Health, with taxonomy code 261QC1800X.

Does Mona M Tantawi,md,pc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D0111661) is associated with this NPI, valid through September 19, 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 Mona M Tantawi,md,pc was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.