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PM PEDIATRICS OF BAYSIDE, PLLC
NPI 1861700353
Specialist in Bayside, NY

Active since September 17, 2010CLIA 33D2017647 · Waiver
210-31 26TH AVENUE, BAYSIDE, NY 11360(516) 677-5437 Get Directions Write a Review

NPPES record last updated: January 21, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pm Pediatrics Of Bayside, Pllc NPPES

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

PM PEDIATRICS OF BAYSIDE, PLLC (NPI 1861700353) is a healthcare organization registered as a specialist in Bayside, New York and active in the NPI registry since September 2010. The organization holds a CLIA Waiver certificate valid through March 31, 2027 and lists Danielle Marie Lopez, Manager Credentialing/enrollment, as its authorized official.

NPPES Registry Identity

NPI1861700353
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePM PEDIATRICS OF BAYSIDE, PLLC
Location Address210-31 26TH AVENUEBayside, NY 11360-1949
Mailing Address1 Hollow Ln Ste 301New Hyde Park, NY 11042-1215 · (516) 677-5437
Phone(516) 677-5437
Organization SubpartNo
Authorized OfficialDanielle Marie LopezManager Credentialing/enrollment · (516) 207-7936
Enumeration DateSeptember 17, 2010
Last NPPES UpdateJanuary 21, 2025
NPPES CertifiedJanuary 21, 2025
✔ NPI 1861700353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
210-31 26TH AVENUE, Bayside, NY 11360
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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 33D2017647

Pm Pediatrics Of Bayside PLLC · Bayside, NY
Active · expires Mar 31, 2027
CLIA Number33D2017647
Laboratory TypePhysician Office
Certificate Effective DateApril 1, 2025
Certificate Expiration DateMarch 31, 2027
Laboratory DirectorDr. Elizabeth Cortez
Laboratory Phone(718) 747-5437
Laboratory LocationPm Pediatrics Of Bayside PLLC210-31 26th Avenue, Bayside, NY 11360
CLIA data matches this NPI record on: Address Name
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 Bayside, PLLC's NPI number?

The NPI number for Pm Pediatrics Of Bayside, PLLC is 1861700353. It was assigned to this organization in the NPPES registry on September 17, 2010.

Where is Pm Pediatrics Of Bayside, PLLC located?

Pm Pediatrics Of Bayside, PLLC is located at 210-31 26th Avenue, Bayside, NY 11360. The listed phone number is (516) 677-5437.

What is Pm Pediatrics Of Bayside, PLLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Pm Pediatrics Of Bayside, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2017647) is associated with this NPI, valid through March 31, 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 Bayside, PLLC was last updated on January 21, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.