OrganizationActive
Kidkare Medical PA
NPI 1386856029 · Clinic/Center · Fair Lawn, NJ
Kidkare Medical PA is a Clinic/Center organization in Fair Lawn, NJ (NPI 1386856029).
Provider details
- NPI number
- 1386856029
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Irina Bass, Pediatrician(201) 773-6171
- License
- 25MA07639000 (NJ)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
15-01 Broadway Ste 36
Fair Lawn, NJ 07410-6006
Phone: (201) 773-6171
Fax: (201) 773-4845
Street-level locationGet directions
Mailing address
15-01 Broadway Ste 36
Fair Lawn, NJ 07410-6006
Registry dates
- Enumerated
- 2007-05-04
- Last updated
- 2016-06-23
Frequently asked questions
- What is Kidkare Medical PA's NPI number?
- Kidkare Medical PA's National Provider Identifier (NPI) is 1386856029, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kidkare Medical PA?
- Kidkare Medical PA is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Kidkare Medical PA located?
- Kidkare Medical PA's practice location on file with NPPES is 15-01 Broadway Ste 36, Fair Lawn, NJ 07410-6006.
- What is Kidkare Medical PA's phone number?
- The practice phone number listed in the NPPES registry for Kidkare Medical PA is (201) 773-6171.
- Who is the authorized official for Kidkare Medical PA?
- The authorized official listed on Kidkare Medical PA's NPPES record is Irina Bass, Pediatrician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kidkare Medical PA's NPI active?
- Yes — Kidkare Medical PA's NPI (1386856029) is active in the NPPES registry as of the last update on 2016-06-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.