Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kidkare Medical PA

Organization Clinic/Center · NPI 1386856029

Kidkare Medical PA is a Clinic/Center in Fair Lawn, New Jersey. Licensed in New Jersey. Registered with an NPI since 2007.

Licensed in
NJ
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

15-01 Broadway Ste 36
Fair Lawn, NJ 07410-6006
Phone: (201) 773-6171
Fax: (201) 773-4845
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X · Licence 25MA07639000 (NJ)

Record details

NPI number1386856029
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Irina Bass — Pediatrician · (201) 773-6171
NPI enumeratedMay 4, 2007
Last updated in NPPESJune 23, 2016
Mailing address15-01 Broadway Ste 36, Fair Lawn, NJ 07410-6006

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