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PM PEDIATRICS OF MARYLAND LLC
NPI 1043106776
Clinic/Center - Urgent Care in Timonium, MD

Active since June 17, 2025CLIA 21D2169663 · Waiver
1803 YORK RD, TIMONIUM, MD 21093(443) 432-2767 Get Directions Write a Review

NPPES record last updated: June 17, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Pm Pediatrics Of Maryland Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PM PEDIATRICS OF MARYLAND LLC (NPI 1043106776) is a healthcare organization registered as an urgent care in Timonium, Maryland and active in the NPI registry since June 2025. The organization holds a CLIA Waiver certificate valid through July 23, 2027 and lists Danielle Marie Lopez, Director Credentialing/enrollment, as its authorized official.

NPPES Registry Identity

NPI1043106776
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NamePM PEDIATRICS OF MARYLAND LLC
Location Address1803 YORK RDTimonium, MD 21093-5119
Mailing Address1 Hollow Ln Ste 301New Hyde Park, NY 11042-1215 · (516) 207-7936
Phone(443) 432-2767
Organization SubpartNo
Authorized OfficialDanielle Marie LopezDirector Credentialing/enrollment · (516) 207-7936
Enumeration DateJune 17, 2025
NPPES CertifiedJune 17, 2025
✔ NPI 1043106776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
1803 YORK RD, Timonium, MD 21093
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Other Names 1

Other NamePm Pediatrics Of Maryland - Timonium

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D2169663

Pm Pediatrics Of Maryland LLC Timonium · Timonium, MD
Active · expires Jul 23, 2027
CLIA Number21D2169663
Laboratory TypeUrgent Care
Certificate Effective DateJuly 24, 2025
Certificate Expiration DateJuly 23, 2027
Laboratory DirectorDr. Kimmie Cass
Laboratory Phone(443) 432-2767
Laboratory LocationPm Pediatrics Of Maryland LLC Timonium1803 York Road, Timonium, MD 21093
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. TEJAL BHATT FNP-C
Nurse Practitioner (Family)
1803 YORK RD
TIMONIUM, MD 21093
Baltimore County (443) 432-2767
TAMRA KUNTZ DNP
Nurse Practitioner (Pediatrics)
1803 YORK RD
TIMONIUM, MD 21093
Baltimore County (443) 432-2767
CHELSEA SHOCK DNP
Nurse Practitioner (Pediatrics)
1803 YORK RD
TIMONIUM, MD 21093
Baltimore County (443) 432-2767

Frequently Asked Questions

What is PM PEDIATRICS OF MARYLAND LLC's NPI number?

The NPI number assigned to this healthcare provider is 1043106776, enumerated as an "organization" on June 17, 2025.

Where is the provider located?

The provider is located at 1803 YORK RD TIMONIUM, MD 21093 and the phone number is (443) 432-2767.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QU0200X and a focus in Urgent Care.