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

Pediatrics & Adolescent Saint Mary Clinic, LLC

Organization Pediatric Adolescent Medicine Physician · NPI 1831555705

Pediatrics & Adolescent Saint Mary Clinic, LLC is a Pediatric Adolescent Medicine Physician in Kearny, New Jersey. Licensed in New Jersey. Registered with an NPI since 2016.

Licensed in
NJ
In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

65 Kearny Ave
Kearny, NJ 07032-2334
Phone: (646) 388-2111
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Adolescent Medicine Physician (primary) Taxonomy 2080A0000X · Licence 25MA09372400 (NJ)

Record details

NPI number1831555705
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Inas Wassef — Owner · (646) 388-2111
NPI enumeratedJanuary 8, 2016
Last updated in NPPESJanuary 8, 2016
Mailing address204 Green Valley Rd, Staten Island, NY 10312-1825