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ISLAND PEDIATRICS, P.C.
NPI 1245583137
Pediatrics in Staten Island, NY

Active since October 17, 2012CLIA 33D0135472 · Waiver
125 SLOSSON AVE, STATEN ISLAND, NY 10314(718) 390-0400(718) 390-0566 Get Directions Write a Review

NPPES record last updated: October 17, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Island Pediatrics, P.c. NPPES

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

ISLAND PEDIATRICS, P.C. (NPI 1245583137) is a healthcare organization registered as a pediatrics in Staten Island, New York and active in the NPI registry since October 2012. The organization holds a CLIA Waiver certificate valid through January 27, 2027 and lists Brian Robert Mcmahon, President, as its authorized official.

NPPES Registry Identity

NPI1245583137
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameISLAND PEDIATRICS, P.C.
Location Address125 SLOSSON AVEStaten Island, NY 10314-2517
Mailing Address125 Slosson AveStaten Island, NY 10314-2517 · (718) 390-0400 · Fax (718) 390-0566
Phone(718) 390-0400
Fax(718) 390-0566
Organization SubpartNo
Authorized OfficialBrian Robert McmahonPresident · (719) 390-0400
Enumeration DateOctober 17, 2012
✔ NPI 1245583137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 168902
Definition
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.
125 SLOSSON AVE, Staten Island, NY 10314
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Other Identifiers 1

Medicaid01848993NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 33D0135472

Island Pediatrics PC · Staten Island, NY
Active · expires Jan 27, 2027
CLIA Number33D0135472
Laboratory TypePhysician Office
Certificate Effective DateJanuary 28, 2025
Certificate Expiration DateJanuary 27, 2027
Laboratory DirectorBrian R. Mcmahon
Laboratory Phone(718) 494-5980
Laboratory LocationIsland Pediatrics PC125 Slosson Ave, Staten Island, NY 10314
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

DR. BRIAN R MCMAHON M.D.
Pediatrics
125 SLOSSON AVE
STATEN ISLAND, NY 10314
Richmond County (719) 390-0400
VICTORIA COLASURDO PA-C
Physician Assistant
125 SLOSSON AVE
STATEN ISLAND, NY 10314
Richmond County (718) 390-0400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Island Pediatrics, P.C.'s NPI number?

The NPI number for Island Pediatrics, P.C. is 1245583137. It was assigned to this organization in the NPPES registry on October 17, 2012.

Where is Island Pediatrics, P.C. located?

Island Pediatrics, P.C. is located at 125 Slosson Ave, Staten Island, NY 10314. The listed phone number is (718) 390-0400.

What is Island Pediatrics, P.C.'s specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Island Pediatrics, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0135472) is associated with this NPI, valid through January 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Island Pediatrics, P.C. was last updated on October 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.