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RICHMOND HILL PEDIATRIC ASSOCIATES
NPI 1366735862
Pediatrics - Adolescent Medicine in Richmond Hill, NY

Active since May 17, 2011CLIA 33D1052243 · Waiver
11607 METROPOLITAN AVE STE 101, RICHMOND HILL, NY 11418(718) 850-9225(718) 850-9226 Get Directions Write a Review

NPPES record last updated: March 2, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Richmond Hill Pediatric Associates NPPES

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

RICHMOND HILL PEDIATRIC ASSOCIATES (NPI 1366735862), doing business as Metro Medical Group, is a healthcare organization registered as an adolescent medicine in Richmond Hill, New York and active in the NPI registry since May 2011. The organization holds a CLIA Waiver certificate valid through March 20, 2028 and lists Nancy Eliana Wallach, President / Physician, as its authorized official.

NPPES Registry Identity

NPI1366735862
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NameRICHMOND HILL PEDIATRIC ASSOCIATES
Location Address11607 METROPOLITAN AVE STE 101Richmond Hill, NY 11418-1018
Mailing Address11607 Metropolitan Ave Ste 101Richmond Hill, NY 11418-1018 · (718) 850-9225 · Fax (718) 850-9226
Phone(718) 850-9225
Fax(718) 850-9226
Organization SubpartNo
Authorized OfficialNancy Eliana WallachPresident / Physician · (718) 850-9225
Enumeration DateMay 17, 2011
Last NPPES UpdateMarch 2, 2026
NPPES CertifiedMarch 2, 2026
✔ NPI 1366735862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in NY · 224297
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
11607 METROPOLITAN AVE STE 101, Richmond Hill, NY 11418
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Other Names 1

Doing Business AsMetro Medical Group

Other Identifiers 2

Medicaid02244920NY
Other224297NY · State License

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 33D1052243

Richmond Hill Pediatric Assoc PC · Richmond Hill, NY
Active · expires Mar 20, 2028
CLIA Number33D1052243
Laboratory TypePhysician Office
Certificate Effective DateMarch 21, 2026
Certificate Expiration DateMarch 20, 2028
Laboratory DirectorDr. Nancy E. Wallach
Laboratory Phone(718) 850-9225
Laboratory LocationRichmond Hill Pediatric Assoc PC116-07 Metropolitan Ave Suite 101, Richmond Hill, NY 11418
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

MRS. NANCY ELIANA WALLACH MD
Pediatrics (Adolescent Medicine)
11607 METROPOLITAN AVE STE 101
RICHMOND HILL, NY 11418
Queens County (718) 850-9225

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 Richmond Hill Pediatric Associates's NPI number?

The NPI number for Richmond Hill Pediatric Associates is 1366735862. It was assigned to this organization in the NPPES registry on May 17, 2011. The provider is doing business as Metro Medical Group.

Where is Richmond Hill Pediatric Associates located?

Richmond Hill Pediatric Associates is located at 11607 Metropolitan Ave Ste 101, Richmond Hill, NY 11418. The listed phone number is (718) 850-9225.

What is Richmond Hill Pediatric Associates's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Does Richmond Hill Pediatric Associates hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D1052243) is associated with this NPI, valid through March 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Richmond Hill Pediatric Associates was last updated on March 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.