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BARDONIA PEDIATRIC ASSOC
NPI 1942385299
Pediatrics in Bardonia, NY

Active since October 26, 2006CLIA 33D0896380 · Waiver
446 ROUTE 304, BARDONIA, NY 10954(845) 623-8031(845) 624-0928 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bardonia Pediatric Assoc NPPES

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

BARDONIA PEDIATRIC ASSOC (NPI 1942385299) is a healthcare organization registered as a pediatrics in Bardonia, New York and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Ronnie Kossoff, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1942385299
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameBARDONIA PEDIATRIC ASSOC
Location Address446 ROUTE 304Bardonia, NY 10954-1617
Mailing Address446 Route 304Bardonia, NY 10954-1617 · (845) 623-8031 · Fax (845) 624-0928
Phone(845) 623-8031
Fax(845) 624-0928
Organization SubpartNo
Authorized OfficialRonnie KossoffBilling Manager · (845) 623-8031
Enumeration DateOctober 26, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1942385299 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.
446 ROUTE 304, Bardonia, NY 10954
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Other Identifiers 1

Medicaid00520223NY

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 MULTIPLE 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 33D0896380

Bardonia Pediatrics · Bardonia, NY
Active · expires Mar 26, 2027
CLIA Number33D0896380
Laboratory TypePhysician Office
Certificate Effective DateJune 13, 2016
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Adam D. Lerche
Laboratory Phone(845) 623-8031
Laboratory LocationBardonia Pediatrics446 Rte 304 - Suite E, Bardonia, NY 10954
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

EARL L. ESTWICK, DMD, PC
Dentist (General Practice)
446 ROUTE 304, SUITE C
BARDONIA, NY 10954
Rockland County (845) 623-4887
DR. TABINDA ANWAR D.D.S.
Dentist
446 ROUTE 304
BARDONIA, NY 10954
Rockland County (845) 624-3188
FRANK REEMER D.D.S., P.C
Dentist (Prosthodontics)
446 ROUTE 304
BARDONIA, NY 10954
Rockland County (845) 624-3188
DR. ADAM LERCHE
Pediatrics (Pediatric Emergency Medicine)
446 ROUTE 304, BARDONIA PEDIATRIC ASSOCIATES
BARDONIA, NY 10954
Rockland County (845) 623-8031
DR. LOUIS SALVATORE SINATRA DDS
Dentist (General Practice)
446 ROUTE 304, BARD PROF BLDG
BARDONIA, NY 10954
Rockland County (845) 623-4777
DR. SANDRA ORTIZ MD
Pediatrics
446 ROUTE 304
BARDONIA, NY 10954
Rockland County (845) 623-8031
DEANNA ROSE BOVA BRANNIGAN APN
Nurse Practitioner (Pediatrics)
446 ROUTE 304
BARDONIA, NY 10954
Rockland County (845) 623-8031
MS. BARBARA WHITING
Dental Hygienist
446 ROUTE 304
BARDONIA, NY 10954
Rockland County (845) 623-6666

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 Bardonia Pediatric Assoc's NPI number?

The NPI number for Bardonia Pediatric Assoc is 1942385299. It was assigned to this organization in the NPPES registry on October 26, 2006.

Where is Bardonia Pediatric Assoc located?

Bardonia Pediatric Assoc is located at 446 Route 304, Bardonia, NY 10954. The listed phone number is (845) 623-8031.

What is Bardonia Pediatric Assoc's specialty?

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

Does Bardonia Pediatric Assoc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0896380) is associated with this NPI, valid through March 26, 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 Bardonia Pediatric Assoc 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.