CELEBRITYPEDIATRICS INC NPI 1508247503

NPI Information

  • NPI: 1508247503
  • Provider Name: CELEBRITYPEDIATRICS INC
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • CLIA Number: 31D2106845
  • Address: 11 DEBBY LN
    WARREN, NJ
    ZIP 07059
  • Phone: (917) 617-2194

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NPI Details

CELEBRITYPEDIATRICS INC is a pediatrics in Warren, NJ. The provider is 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. CELEBRITYPEDIATRICS INC NPI is 1508247503. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11 DEBBY LN
WARREN, NJ
ZIP 07059-012
Phone: (917) 617-2194

The provider's authorized official is Edward Kulich .
The authorized official title is President and has the following contact phone number (917) 617-2194.

The CLIA number assigned to this NPI record is 31D2106845 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/15/2015 and was last updated on 6/15/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatrics25MA08633400NEW JERSEYYes

What is NPI?

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This page was last updated on: 11/21/2025

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