OrganizationActive
Healthy Kids Pediatrics, LLC
NPI 1811361207 · Medical Specialty Clinic/Center · Nutley, NJ
Provider details
- NPI number
- 1811361207
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jill Pedalino, Owner/Managing Member(844) 437-5455
- License
- 25MB07995400 (NJ)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
675 Franklin Ave
Nutley, NJ 07110-1209
Phone: (844) 437-5455
Street-level locationGet directions
Mailing address
675 Franklin Ave
Nutley, NJ 07110-1209
Registry dates
- Enumerated
- 2015-11-23
- Last updated
- 2020-07-24
- Certified
- 2020-07-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.