AVENUE PEDIATRICS, LLC
NPI 1265859094
Pediatrics in West Caldwell, NJ

NPI Status: Active since March 18, 2014

Contact Information

1140 BLOOMFIELD AVE
SUITE 213
WEST CALDWELL, NJ
ZIP 07006
Phone: (973) 228-6302
Fax: (973) 228-6305

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  • Organization
  • Pediatrics
  • CLIA Number: 31D2068336
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 06-13-2026

About AVENUE PEDIATRICS, LLC

This page provides the complete NPI Profile along with additional information for Avenue Pediatrics, Llc, a pediatrician established in West Caldwell, New Jersey operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1265859094 assigned on March 2014. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Sophia Gigos-costeas Md (Owner)

NPI
1265859094
Provider Name
AVENUE PEDIATRICS, LLC
Entity Type
Organization
Location Address
1140 BLOOMFIELD AVE SUITE 213 WEST CALDWELL, NJ 07006
Location Phone
(973) 228-6302
Location Fax
(973) 228-6305
Mailing Address
1140 BLOOMFIELD AVE SUITE 213 WEST CALDWELL, NJ 07006
Mailing Phone
(973) 228-6302
Mailing Fax
(973) 228-6305
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-18-2014
Last Update Date
09-01-2015
Code Navigator

A pediatrician like Avenue Pediatrics, Llc is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. SOPHIA GIGOS-COSTEAS MD

Authorized Official Title
OWNER
Authorized Official Phone
(973) 228-6302

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
31D2068336
Facility Type
Physician Office
Certificate Effective Date
June 14, 2024
Certificate Expiration Date
June 13, 2026
Laboratory Director
MOJISOLA ADARAMOLA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Avenue Pediatrics, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for AVENUE PEDIATRICS, LLC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1265859094
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2212516518018
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 2 + 5 + 1 + 6 + 5 + 1 + 8 + 0 + 1 + 8 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1265859094 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 14 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1932175411MR. STUART G MENDELSON MD
Individual
Psychiatry & Neurology (Neurology)1140 BLOOMFIELD AVE SUITE 207
WEST CALDWELL, NJ 07006
(973) 575-5065
1083700124DR. AVRILL ROY BERKMAN M.D.
Individual
Orthopaedic Surgery1140 BLOOMFIELD AVE SUITE 106
WEST CALDWELL, NJ 07006
(973) 228-3668
1255401980WEST ESSEX DENTAL GROUP, PA
Organization
Dentist (General Practice)1140 BLOOMFIELD AVE SUITE 209
WEST CALDWELL, NJ 07006
(973) 575-6570
1699846162DR. LOUIS JAMES GIASULLO CHIROPRACTOR
Individual
Chiropractor1140 BLOOMFIELD AVE SUITE 216
WEST CALDWELL, NJ 07006
(973) 575-8363
1356490577DR. JUDITH H GURTMAN PHD
Individual
Psychologist (Clinical)1140 BLOOMFIELD AVE SUITE 212
W CALDWELL, NJ 07006
(973) 227-1668
1417076712 DEBORAH E LUBETKIN PSY.D.
Individual
Psychologist (Clinical)1140 BLOOMFIELD AVE SUITE 212
WEST CALDWELL, NJ 07006
(973) 276-1880
1366629941 JILL BROWN LCSW
Individual
Social Worker (Clinical)1140 BLOOMFIELD AVE SUITE 229
WEST CALDWELL, NJ 07006
(973) 396-8727
1528392446ANDREW B. WEISS, M.D., LLC
Organization
Specialist1140 BLOOMFIELD AVE SUITE 216
WEST CALDWELL, NJ 07006
(973) 226-0825
1306168422AVRILL ROY BERKMAN, M.D., P.A.
Organization
Orthopaedic Surgery1140 BLOOMFIELD AVE SUITE 106
WEST CALDWELL, NJ 07006
(973) 228-3668
1396011375MS. KAREN L MADURA LCSW, LCADC
Individual
Social Worker (Clinical)1140 BLOOMFIELD AVE SUITE # 202
WEST CALDWELL, NJ 07006
(973) 865-7180
1396895843DR. FRANCIS TERESA D.C.
Individual
Chiropractor1140 BLOOMFIELD AVE SUITE 230
WEST CALDWELL, NJ 07006
(973) 808-6800
1689775942MS. ESHA KHOSHNU M.D.
Individual
Psychiatry & Neurology (Neurology)1140 BLOOMFIELD AVE SUITE 202
WEST CALDWELL, NJ 07006
(973) 575-1107
1336489350WEST ESSEX SPINAL CARE ASSOCIATES
Organization
Chiropractor1140 BLOOMFIELD AVE SUITE 230
WEST CALDWELL, NJ 07006
(973) 808-6800
1033282744WEST CALDWELL CHIROPRACTIC CENTER, P.A.
Organization
Chiropractor1140 BLOOMFIELD AVE SUITE 216
WEST CALDWELL, NJ 07006
(973) 575-8363

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265859094, enumerated in the NPI registry as an "organization" on March 18, 2014

The provider is located at 1140 Bloomfield Ave Suite 213 West Caldwell, Nj 07006 and the phone number is (973) 228-6302

This medical organization specializes in Pediatrics with taxonomy code 208000000X

The provider's CLIA number is 31D2068336 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on March 18, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.