Organization
KIDKARE MEDICAL PA
Active
Organization
KIDKARE MEDICAL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRINA BASS MD (PEDIATRICIAN)
(201) 773-6171
Entity
Organization
Contact information
Practice address
15-01 BROADWAY STE 36, FAIR LAWN, NJ 07410-6006
(201) 773-6171
(201) 773-4845
Mailing address
15-01 BROADWAY STE 36, FAIR LAWN, NJ 07410-6006
(201) 773-6171
(201) 773-4845
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
25MA07639000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0081787
—
NJ
01
—
1346212156
INDIVIDUAL NPI
NJ
Enumeration date
05/04/2007
Last updated
06/23/2016
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up