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MILLBURN PEDIATRICS PA
NPI 1932231719
Pediatrics - Adolescent Medicine in Millburn, NJ

Active since March 09, 2007CLIA 31D0679624 · Waiver
159 MILLBURN AVE, MILLBURN, NJ 07041(973) 912-0155(973) 912-8714 Get Directions Write a Review

NPPES record last updated: April 21, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Millburn Pediatrics Pa NPPES

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

MILLBURN PEDIATRICS PA (NPI 1932231719) is a healthcare organization registered as an adolescent medicine in Millburn, New Jersey and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through April 16, 2028 and lists Christine K Ghuzzi, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1932231719
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NameMILLBURN PEDIATRICS PA
Location Address159 MILLBURN AVEMillburn, NJ 07041-1849
Mailing Address159 Millburn AveMillburn, NJ 07041-1849 · (973) 912-0155 · Fax (973) 912-8714
Phone(973) 912-0155
Fax(973) 912-8714
Organization SubpartNo
Authorized OfficialChristine K GhuzziOffice Manager · (973) 912-0554
Enumeration DateMarch 9, 2007
Last NPPES UpdateApril 21, 2010
✔ NPI 1932231719 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.
159 MILLBURN AVE, Millburn, NJ 07041
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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 31D0679624

Millburn Pediatrics, PA · Millburn, NJ
Active · expires Apr 16, 2028
CLIA Number31D0679624
Laboratory TypePhysician Office
Certificate Effective DateApril 17, 2026
Certificate Expiration DateApril 16, 2028
Laboratory DirectorWesley Boodish
Laboratory Phone(973) 763-5424
Laboratory LocationMillburn Pediatrics, PA159 Millburn Avenue, Millburn, NJ 07041
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 16

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

KELLY P KNOWLES MD
Pediatrics
159 MILLBURN AVE, STE 1
MILLBURN, NJ 07041
Essex County (973) 912-0155
FASHION EYEWEAR OF ESSEX
Eyewear Supplier
159 MILLBURN AVE
MILLBURN, NJ 07041
Essex County (973) 912-0031
DR. SUBITA S MANGRU M.D.
Pediatrics (Adolescent Medicine)
159 MILLBURN AVE
MILLBURN, NJ 07041
Essex County (973) 912-0155
SHORT HILLS MEDICAL ASSOCIATES LLC
Family Medicine
159 MILLBURN AVE
MILLBURN, NJ 07041
Essex County (908) 989-0803
ALAN N JACOBS MD
Psychiatry & Neurology (Psychiatry)
159 MILLBURN AVE
MILLBURN, NJ 07041
Essex County (973) 379-2215
GLORIA RITACCO-STEWART LCSW
Social Worker
159 MILLBURN AVE
MILLBURN, NJ 07041
Essex County (973) 376-2000
GAYLE S SHULMAN MD, LLC
Ophthalmology
159 MILLBURN AVE
MILLBURN, NJ 07041
Essex County (973) 912-4433
MRS. SUSAN SPRAGUE-LEE LCSW
Social Worker (Clinical)
159 MILLBURN AVE
MILLBURN, NJ 07041
Essex County (973) 796-7951

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 Millburn Pediatrics PA's NPI number?

The NPI number for Millburn Pediatrics PA is 1932231719. It was assigned to this organization in the NPPES registry on March 9, 2007.

Where is Millburn Pediatrics PA located?

Millburn Pediatrics PA is located at 159 Millburn Ave, Millburn, NJ 07041. The listed phone number is (973) 912-0155.

What is Millburn Pediatrics PA's specialty?

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

Does Millburn Pediatrics PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D0679624) is associated with this NPI, valid through April 16, 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 Millburn Pediatrics PA was last updated on April 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.