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PM PEDIATRICS OF NEW ENGLAND NPI 1073270484


NPI Information

NPI: 1073270484
Provider Name: PM PEDIATRICS OF NEW ENGLAND
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 22D2241402

Address:
97 PEARL STREET
BRAINTREE, NY
ZIP 02184
Phone: (781) 848-5437
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PM PEDIATRICS OF NEW ENGLAND is an urgent care clinic center in Braintree, NY. PM PEDIATRICS OF NEW ENGLAND NPI is 1073270484. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

97 PEARL STREET
BRAINTREE, NY
ZIP 02184
Phone: (781) 848-5437
Fax: (781) 848-5430

The provider's authorized official is Marlena Simpson .
The authorized official title is Sr. Dir. Cred Enrollment & Prov Rel and has the following contact phone number (516) 207-7851.

The CLIA number assigned to this NPI record is 22D2241402 - other - urgent care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/19/2021 and was last updated on 11/19/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsNo
2261QU0200XClinic/CenterUrgent CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.