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

Kidkare Medical PA

Organization Clinic/Center · NPI 1386856029

Kidkare Medical PA provides Clinic/Center services in Fair Lawn, New Jersey. Licensed in New Jersey. Registered with an NPI since 2007.

Licensed in
NJ
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

15-01 Broadway Ste 36
Fair Lawn, NJ 07410-6006 Not confirmed with CMS for 10 years — call before visiting
Phone: (201) 773-6171
Fax: (201) 773-4845
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X · Licence 25MA07639000 (NJ)

Record details

NPI number1386856029
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Irina Bass — Pediatrician · (201) 773-6171
NPI enumeratedMay 4, 2007
Last updated in NPPESJune 23, 2016
Mailing address15-01 Broadway Ste 36, Fair Lawn, NJ 07410-6006

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