1. Home
  2. Directory
  3. New York
  4. Bayside
  5. Clinic Center
  6. NPI Profile

NORTHERN PEDIATRIC MEDICAL PC
NPI 1528872397
Clinic/Center in Bayside, NY

Active since February 03, 2025CLIA 33D2318845 · Waiver
21008 NORTHERN BLVD, BAYSIDE, NY 11361(718) 795-2717(718) 795-2743 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 30, 2026, Feb 3, 2025 (2 updates tracked since 2025).

About Northern Pediatric Medical Pc NPPES

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

NORTHERN PEDIATRIC MEDICAL PC (NPI 1528872397) is a healthcare organization registered as a clinic/center in Bayside, New York and active in the NPI registry since February 2025. The organization holds a CLIA Waiver certificate valid through February 18, 2027 and lists Hector Florimon, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1528872397
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameNORTHERN PEDIATRIC MEDICAL PC
Location Address21008 NORTHERN BLVDBayside, NY 11361-3211
Mailing Address21008 Northern BlvdBayside, NY 11361-3211 · (718) 795-2717 · Fax (718) 795-2743
Phone(718) 795-2717
Fax(718) 795-2743
Organization SubpartNo
Authorized OfficialHector FlorimonMedical Director · (718) 795-2717
Enumeration DateFebruary 3, 2025
Last NPPES UpdateMarch 30, 20262 updates tracked since enumeration
NPPES CertifiedMarch 30, 2026
✔ NPI 1528872397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
21008 NORTHERN BLVD, Bayside, NY 11361
Open in Google Maps ↗

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 33D2318845

Northern Pediatric Medical PC · Bayside, NY
Active · expires Feb 18, 2027
CLIA Number33D2318845
Laboratory TypePhysician Office
Certificate Effective DateFebruary 19, 2025
Certificate Expiration DateFebruary 18, 2027
Laboratory DirectorElsa S. Reynoso
Laboratory Phone(718) 795-2717
Laboratory LocationNorthern Pediatric Medical PC210-08 Northern Blvd 1st Floor Suite 3, Bayside, NY 11361
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 11

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

ATOM PHYSICAL THERAPY PC
Physical Therapist
21008 NORTHERN BLVD, SUITE #1
BAYSIDE, NY 11361
Queens County (347) 408-4911
LAWRENCE J. DEUTSCH PHD, PC
Audiologist
21008 NORTHERN BLVD, SUITE 5
BAYSIDE, NY 11361
Queens County (718) 224-6100
CHRISTINA RICCIARDI FNP
Nurse Practitioner
21008 NORTHERN BLVD
BAYSIDE, NY 11361
Queens County (718) 539-5100
FRYER DERMATOLOGY, PLLC
Dermatology
21008 NORTHERN BLVD
BAYSIDE, NY 11361
Queens County (718) 224-8200
DR. KUAI-HUA CHIANG D.P.T
Physical Therapist
21008 NORTHERN BLVD, STE #1
BAYSIDE, NY 11361
Queens County (347) 408-4911
ERIC J FRYER MD
Dermatology
21008 NORTHERN BLVD
BAYSIDE, NY 11361
Queens County (718) 224-8200
RICCARDO RICCIARDI JR. MD
Urology
21008 NORTHERN BLVD, SUITE 4
BAYSIDE, NY 11361
Queens County (718) 539-5100
PCL HEARING SERVICES OF NEW YORK, LLC
Specialist
21008 NORTHERN BLVD, SUITE 5
BAYSIDE, NY 11361
Queens County (718) 224-6100

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 Northern Pediatric Medical PC's NPI number?

The NPI number for Northern Pediatric Medical PC is 1528872397. It was assigned to this organization in the NPPES registry on February 3, 2025.

Where is Northern Pediatric Medical PC located?

Northern Pediatric Medical PC is located at 21008 Northern Blvd, Bayside, NY 11361. The listed phone number is (718) 795-2717.

What is Northern Pediatric Medical PC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Northern Pediatric Medical PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2318845) is associated with this NPI, valid through February 18, 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 Northern Pediatric Medical PC was last updated on March 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.