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NEW JERSEY PEDIATRIC AND ADOLESCENT CARE, LLC
NPI 1912334434
Clinic/Center - Primary Care in Wayne, NJ

Active since September 29, 2013CLIA 31D2070785 · Certificate of Compliance
1680 ROUTE 23, SUITE 350, WAYNE, NJ 07470(973) 521-9700 Get Directions Write a Review

NPPES record last updated: September 29, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About New Jersey Pediatric And Adolescent Care, Llc NPPES

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

NEW JERSEY PEDIATRIC AND ADOLESCENT CARE, LLC (NPI 1912334434) is a healthcare organization registered as a primary care in Wayne, New Jersey and active in the NPI registry since September 2013. The organization holds a CLIA Certificate of Compliance certificate valid through June 11, 2028 and lists Lydia M Charles, Owner, as its authorized official.

NPPES Registry Identity

NPI1912334434
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameNEW JERSEY PEDIATRIC AND ADOLESCENT CARE, LLC
Location Address1680 ROUTE 23, SUITE 350Wayne, NJ 07470-7501
Mailing Address4 Fox Hollow RdMontville, NJ 07045-9300 · (973) 276-1140
Phone(973) 521-9700
Organization SubpartNo
Authorized OfficialLydia M CharlesOwner · (973) 276-1140
Enumeration DateSeptember 29, 2013
✔ NPI 1912334434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in NJ · 25MA06235800
1680 ROUTE 23, Wayne, NJ 07470
Open in Google Maps ↗

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 Compliance 31D2070785

New Jersey Pediatric And Adolescent Care LLC · Wayne, NJ
Active · expires Jun 11, 2028
CLIA Number31D2070785
Laboratory TypePhysician Office
Certificate Effective DateJune 12, 2026
Certificate Expiration DateJune 11, 2028
Laboratory DirectorAlexandra K. Charles
Laboratory Phone(973) 521-9700
Laboratory LocationNew Jersey Pediatric And Adolescent Care LLC1680 Route 23 North Suite 350, Wayne, NJ 07470
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 10

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

DR. ZACHARY SUVAL SPITZER DDS
Dentist
1680 ROUTE 23, SUITE 100
WAYNE, NJ 07470
Passaic County (973) 694-3352
JEFFREY B. WISE, M.D., L.L.C.
Clinic/Center (Medical Specialty)
1680 ROUTE 23, SUITE 100
WAYNE, NJ 07470
Passaic County (973) 305-1400
DR. DONALD A SPITZER DDS
Dentist (General Practice)
1680 ROUTE 23, SUITE 100
WAYNE, NJ 07470
Passaic County (973) 694-3352
DR. CHANNING YEE CHIN M.D.
Surgery
1680 ROUTE 23
WAYNE, NJ 07470
Passaic County (800) 633-8446
HEATHER RAFFER PT
Physical Therapist
1680 ROUTE 23
WAYNE, NJ 07470
Passaic County (973) 832-7655
PREMIER BARIATRIC NEW JERSEY PC
Specialist
1680 ROUTE 23
WAYNE, NJ 07470
Passaic County (516) 616-5500
LYDIA CHARLES MD
Pediatrics (Adolescent Medicine)
1680 ROUTE 23, SUITE 350
WAYNE, NJ 07470
Passaic County (973) 521-9700
DR. MONTE A HABER M.D.
Physical Medicine & Rehabilitation (Sports Medicine)
1680 ROUTE 23, SUITE 250
WAYNE, NJ 07470
Passaic County (973) 633-1122

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 New Jersey Pediatric And Adolescent Care, LLC's NPI number?

The NPI number for New Jersey Pediatric And Adolescent Care, LLC is 1912334434. It was assigned to this organization in the NPPES registry on September 29, 2013.

Where is New Jersey Pediatric And Adolescent Care, LLC located?

New Jersey Pediatric And Adolescent Care, LLC is located at 1680 Route 23 Suite 350, Wayne, NJ 07470. The listed phone number is (973) 521-9700.

What is New Jersey Pediatric And Adolescent Care, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does New Jersey Pediatric And Adolescent Care, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 31D2070785) is associated with this NPI, valid through June 11, 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 New Jersey Pediatric And Adolescent Care, LLC was last updated on September 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.