- Practice location
- 15-01 Broadway Ste 36, Fair Lawn, NJ 07410-6006
- Phone
- 201-773-6171
- Fax
- 201-773-4845
- Last updated
- June 23, 2016
Kidkare Medical PA is a healthcare organization based in Fair Lawn, NJ. Kidkare Medical PA practices in Fair Lawn, NJ. The NPI Number for Kidkare Medical PA is 1386856029 and holds a License No. 25MA07639000 (NJ). The current practice location address for Kidkare Medical PA is 15-01 Broadway Ste 36, Fair Lawn, NJ 07410-6006 and can be reached out via phone at 201-773-6171 and via fax at 201-773-4845.
Provider Profile Details
- NPI Number
- 1386856029
- Provider Name
- Kidkare Medical PA
- Provider Entity Type
- Organization
- Address
- 15-01 Broadway Ste 36, Fair Lawn, NJ 07410-6006
- Phone Number
- 201-773-6171
- Fax Number
- 201-773-4845
- Primary Taxonomy
- Clinic/Center · 261Q00000X
- Organization Subpart
- No
- Authorized Official
- Dr. Irina Bass, MD · Pediatrician · 201-773-6171
- Provider Enumeration Date
- May 4, 2007
- Last Update Date
- June 23, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 15-01 Broadway Ste 36
Fair Lawn, NJ 07410-6006 - City
- Fair Lawn
- State
- New Jersey
- Zip
- 07410-6006
- Phone Number
- 201-773-6171
- Fax Number
- 201-773-4845
Provider Business Mailing Address Details
- Address
- 15-01 Broadway Ste 36
Fair Lawn, NJ 07410-6006 - City
- Fair Lawn
- State
- NJ
- Zip
- 07410-6006
- Phone Number
- 201-773-6171
- Fax Number
- 201-773-4845
License Information
- License Number
- 25MA07639000
- License State
- NJ
- Taxonomy
- Clinic/Center · 261Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Clinic/Centers near Fair Lawn, NJ
View all Clinic/Centers in Fair Lawn →Frequently Asked Questions
What is the NPI number of Kidkare Medical PA?
The NPI number of Kidkare Medical PA is 1386856029. It was assigned on May 4, 2007 and is currently active in the NPPES registry.
What is the specialty of Kidkare Medical PA?
Kidkare Medical PA is registered under the primary taxonomy Clinic/Center (code 261Q00000X), licensed in NJ under license number 25MA07639000.
Where does Kidkare Medical PA practice?
The practice location is 15-01 Broadway Ste 36, Fair Lawn, NJ 07410-6006. The office can be reached at 201-773-6171 (phone) or 201-773-4845 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1386856029 directly on the NPPES registry website.