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ALL STAR PEDIATRICS AND SPORTS MEDICINE
NPI 1972912566
Pediatrics in Bloomfield, NJ

Active since August 07, 2014CLIA 31D2034462 · Waiver
199 BROAD ST, SUITE 1B, BLOOMFIELD, NJ 07003(973) 743-1392(973) 743-3707 Get Directions Write a Review

NPPES record last updated: August 7, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About All Star Pediatrics And Sports Medicine NPPES

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

ALL STAR PEDIATRICS AND SPORTS MEDICINE (NPI 1972912566) is a healthcare organization registered as a pediatrics in Bloomfield, New Jersey and active in the NPI registry since August 2014. The organization holds a CLIA Waiver certificate valid through December 22, 2027 and lists Ruchi Mehta, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1972912566
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameALL STAR PEDIATRICS AND SPORTS MEDICINE
Location Address199 BROAD ST, SUITE 1BBloomfield, NJ 07003-2635
Mailing Address199 Broad St, Suite 1bBloomfield, NJ 07003-2635 · (973) 743-1392 · Fax (973) 743-3707
Phone(973) 743-1392
Fax(973) 743-3707
Organization SubpartNo
Authorized OfficialRuchi MehtaMedical Director · (973) 743-1392
Enumeration DateAugust 7, 2014
✔ NPI 1972912566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NJ · 25MA08474900
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.
199 BROAD ST, Bloomfield, NJ 07003
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Other Identifiers 1

Medicaid0287326NJ

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 31D2034462

All Star Pediatrics And Sports Medicine · Bloomfield, NJ
Active · expires Dec 22, 2027
CLIA Number31D2034462
Laboratory TypePhysician Office
Certificate Effective DateDecember 23, 2025
Certificate Expiration DateDecember 22, 2027
Laboratory DirectorRuchi Mehta
Laboratory Phone(973) 743-1392
Laboratory LocationAll Star Pediatrics And Sports Medicine106 Broad Street, Bloomfield, NJ 07003
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 10

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

MORRESI MEDICAL ASSOCIATES LLC
Internal Medicine
199 BROAD ST, SUITE 1D
BLOOMFIELD, NJ 07003
Essex County (800) 243-5854
ECOA OPTICAL
Optometrist
199 BROAD ST
BLOOMFIELD, NJ 07003
Essex County (973) 748-3300
SERENA JANE BOYCE APN
Nurse Practitioner (Family)
199 BROAD ST
BLOOMFIELD, NJ 07003
Essex County (973) 748-4583
ANTHONY PETER DAMATO MD
Ophthalmology
199 BROAD ST, SUITE 2B
BLOOMFIELD, NJ 07003
Essex County (973) 748-3300
THERESA ANN SOROKO MD
Internal Medicine (Infectious Disease)
199 BROAD ST, SUITE 2A
BLOOMFIELD, NJ 07003
Essex County (973) 748-4583
GASTOENTEROLOGY OF NORTH ESSEX PC
Internal Medicine (Gastroenterology)
199 BROAD ST, STE 1A
BLOOMFIELD, NJ 07003
Essex County (973) 680-5500
ASSOCIATES IN INFECTIOUS DISEASE, PC
Internal Medicine (Infectious Disease)
199 BROAD ST, SUITE 2C
BLOOMFIELD, NJ 07003
Essex County (973) 748-4583
DIAGNOSTIC TEST RESULTS LLC
Specialist
199 BROAD ST, SUITE 1D
BLOOMFIELD, NJ 07003
Essex County (973) 566-6500

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 All Star Pediatrics And Sports Medicine's NPI number?

The NPI number for All Star Pediatrics And Sports Medicine is 1972912566. It was assigned to this organization in the NPPES registry on August 7, 2014.

Where is All Star Pediatrics And Sports Medicine located?

All Star Pediatrics And Sports Medicine is located at 199 Broad St Suite 1B, Bloomfield, NJ 07003. The listed phone number is (973) 743-1392.

What is All Star Pediatrics And Sports Medicine's specialty?

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

Does All Star Pediatrics And Sports Medicine hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2034462) is associated with this NPI, valid through December 22, 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 All Star Pediatrics And Sports Medicine was last updated on August 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.