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PM PEDIATRICS OF STATEN ISLAND
NPI 1629439427
Pediatrics in Staten Island, NY

Active since March 08, 2016CLIA 33D2110878 · Waiver
2407 RICHMOND AVE, STATEN ISLAND, NY 10314(718) 698-5437(718) 698-5444 Get Directions Write a Review

NPPES record last updated: January 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pm Pediatrics Of Staten Island NPPES

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

PM PEDIATRICS OF STATEN ISLAND (NPI 1629439427) is a healthcare organization registered as a pediatrics in Staten Island, New York and active in the NPI registry since March 2016. The organization holds a CLIA Waiver certificate valid through January 15, 2027 and lists Danielle Marie Lopez, Manager Credentialing/enrollment, as its authorized official.

NPPES Registry Identity

NPI1629439427
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePM PEDIATRICS OF STATEN ISLAND
Location Address2407 RICHMOND AVEStaten Island, NY 10314-3906
Mailing Address1 Hollow LnNew Hyde Park, NY 11042-1220 · (516) 869-0650 · Fax (516) 869-0655
Phone(718) 698-5437
Fax(718) 698-5444
Organization SubpartNo
Authorized OfficialDanielle Marie LopezManager Credentialing/enrollment · (516) 207-7936
Enumeration DateMarch 8, 2016
Last NPPES UpdateJanuary 21, 2025
NPPES CertifiedJanuary 21, 2025
✔ NPI 1629439427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
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.
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
2407 RICHMOND AVE, Staten Island, NY 10314
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 33D2110878

Pm Pediatrics Of Bayside PLLC - Staten Island · Staten Island, NY
Active · expires Jan 15, 2027
CLIA Number33D2110878
Laboratory TypePhysician Office
Certificate Effective DateJanuary 16, 2025
Certificate Expiration DateJanuary 15, 2027
Laboratory DirectorDr. Sheryl Cohen
Laboratory Phone(718) 698-5437
Laboratory LocationPm Pediatrics Of Bayside PLLC - Staten Island2407 Richmond Avenue, Staten Island, NY 10314
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Pm Pediatrics Of Staten Island's NPI number?

The NPI number for Pm Pediatrics Of Staten Island is 1629439427. It was assigned to this organization in the NPPES registry on March 8, 2016.

Where is Pm Pediatrics Of Staten Island located?

Pm Pediatrics Of Staten Island is located at 2407 Richmond Ave, Staten Island, NY 10314. The listed phone number is (718) 698-5437.

What is Pm Pediatrics Of Staten Island's specialty?

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

Does Pm Pediatrics Of Staten Island hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2110878) is associated with this NPI, valid through January 15, 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 Pm Pediatrics Of Staten Island was last updated on January 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.