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PM PEDIATRICS OF STATEN ISLAND NPI 1629439427


NPI Information

NPI: 1629439427
Provider Name: PM PEDIATRICS OF STATEN ISLAND
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 33D2110878

Address:
2407 RICHMOND AVE
STATEN ISLAND, NY
ZIP 10314
Phone: (718) 698-5437
Get Directions

PM PEDIATRICS OF STATEN ISLAND is a pediatrics in Staten Island, NY. The provider is 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. PM PEDIATRICS OF STATEN ISLAND NPI is 1629439427. The provider is registered as an organization entity type.

The provider's business location address is:

2407 RICHMOND AVE
STATEN ISLAND, NY
ZIP 10314-906
Phone: (718) 698-5437
Fax: (718) 698-5444

The provider's authorized official is Marlena Simpson .
The authorized official title is Director, Credentialing/enrollment and has the following contact phone number (516) 207-7851.

The CLIA number assigned to this NPI record is 33D2110878 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/8/2016 and was last updated on 2/2/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QU0200XClinic/CenterUrgent CareNo
2208000000XPediatricsNEW YORKYes

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: 4/28/2024

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.