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

BAYSIDE PEDIATRIC CARE P.C.
NPI 1639478340
Pediatrics in Bayside, NY

Active since March 21, 2011CLIA 33D2163718 · Waiver
22116 UNION TPKE, BAYSIDE, NY 11364(718) 465-5888(718) 465-5889 Get Directions Write a Review

NPPES record last updated: March 6, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bayside Pediatric Care P.c. NPPES

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

BAYSIDE PEDIATRIC CARE P.C. (NPI 1639478340) is a healthcare organization registered as a pediatrics in Bayside, New York and active in the NPI registry since March 2011. The organization holds a CLIA Waiver certificate valid through March 19, 2027 and lists Li-min Yang, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1639478340
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameBAYSIDE PEDIATRIC CARE P.C.
Location Address22116 UNION TPKEBayside, NY 11364-3641
Mailing Address22116 Union TpkeBayside, NY 11364-3641 · (718) 465-5888 · Fax (718) 465-5889
Phone(718) 465-5888
Fax(718) 465-5889
Organization SubpartNo
Authorized OfficialLi-min YangOffice Manager · (718) 465-5888
Enumeration DateMarch 21, 2011
Last NPPES UpdateMarch 6, 2012
✔ NPI 1639478340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 240002
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.

22116 UNION TPKE, Bayside, NY 11364
Open in Google Maps ↗

Other Identifiers 1

Medicaid02824739NY

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 33D2163718

Bayside Pediatric Care PC · Bayside, NY
Active · expires Mar 19, 2027
CLIA Number33D2163718
Laboratory TypePhysician Office
Certificate Effective DateMarch 20, 2025
Certificate Expiration DateMarch 19, 2027
Laboratory DirectorDr. Li Min Yang
Laboratory Phone(718) 465-5888
Laboratory LocationBayside Pediatric Care PC221-16 Union Turnpike, Bayside, NY 11364
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.

LI-MIN YANG M.D.
Pediatrics
22116 UNION TPKE
BAYSIDE, NY 11364
Queens County (718) 465-5888

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 Bayside Pediatric Care P.C.'s NPI number?

The NPI number for Bayside Pediatric Care P.C. is 1639478340. It was assigned to this organization in the NPPES registry on March 21, 2011.

Where is Bayside Pediatric Care P.C. located?

Bayside Pediatric Care P.C. is located at 22116 Union Tpke, Bayside, NY 11364. The listed phone number is (718) 465-5888.

What is Bayside Pediatric Care P.C.'s specialty?

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

Does Bayside Pediatric Care P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2163718) is associated with this NPI, valid through March 19, 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 Bayside Pediatric Care P.C. was last updated on March 6, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.