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PM PEDIATRICS OF SELDEN
NPI 1902143886
Specialist in North Babylon, NY

Active since January 11, 2013CLIA 33D2054027 · Waiver
1130 DEER PARK AVE, NORTH BABYLON, NY 11703(631) 696-5437(631) 698-2049 Get Directions Write a Review

NPPES record last updated: January 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pm Pediatrics Of Selden NPPES

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

PM PEDIATRICS OF SELDEN (NPI 1902143886) is a healthcare organization registered as a specialist in North Babylon, New York and active in the NPI registry since January 2013. 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

NPI1902143886
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePM PEDIATRICS OF SELDEN
Location Address1130 DEER PARK AVENorth Babylon, NY 11703-3102
Mailing Address1 Hollow LnNew Hyde Park, NY 11042-1220 · (516) 869-0650 · Fax (516) 869-0655
Phone(631) 696-5437
Fax(631) 698-2049
Organization SubpartNo
Authorized OfficialDanielle Marie LopezManager Credentialing/enrollment · (516) 207-7936
Enumeration DateJanuary 11, 2013
Last NPPES UpdateJanuary 21, 2025
NPPES CertifiedJanuary 21, 2025
✔ NPI 1902143886 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
1130 DEER PARK AVE, North Babylon, NY 11703
Open in Google Maps ↗

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 33D2054027

Pm Pediatrics Of Selden, PLLC · North Babylon, NY
Active · expires Mar 31, 2027
CLIA Number33D2054027
Laboratory TypePhysician Office
Certificate Effective DateApril 1, 2025
Certificate Expiration DateMarch 31, 2027
Laboratory DirectorDr. Sheryl Cohen
Laboratory Phone(631) 667-4767
Laboratory LocationPm Pediatrics Of Selden, PLLC1130 Deer Park Avenue, North Babylon, NY 11703
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

MARIA ESTHER DAVILA CNP
Nurse Practitioner (Pediatrics)
1130 DEER PARK AVE
NORTH BABYLON, NY 11703
Suffolk County (631) 667-4767
KATHERINE MELINDA RALPH LMSW
Social Worker
1130 DEER PARK AVE
NORTH BABYLON, NY 11703
Suffolk County (631) 667-4767
MR. THOMAS JOSEPH DOYLE PNP
Nurse Practitioner (Pediatrics)
1130 DEER PARK AVE
NORTH BABYLON, NY 11703
Suffolk County (631) 667-4767

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 Selden's NPI number?

The NPI number for Pm Pediatrics Of Selden is 1902143886. It was assigned to this organization in the NPPES registry on January 11, 2013.

Where is Pm Pediatrics Of Selden located?

Pm Pediatrics Of Selden is located at 1130 Deer Park Ave, North Babylon, NY 11703. The listed phone number is (631) 696-5437.

What is Pm Pediatrics Of Selden's specialty?

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

Does Pm Pediatrics Of Selden hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2054027) 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 Selden 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.