PM PEDIATRICS OF BAYSIDE PLLC – NPI #1861823197
Clinic/Center

PM PEDIATRICS OF BAYSIDE PLLC is an AHC clinic located in SPRING VALLEY, NY. NPPES has assigned the NPI number 1861823197 to PM PEDIATRICS OF BAYSIDE PLLC on December 12, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QU0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Urgent Care

The NPI profile was last updated on Jan 21, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PM PEDIATRICS OF BAYSIDE PLLC below.

NPI Profile for
PM PEDIATRICS OF BAYSIDE PLLC

NPI Number
1861823197
Enumeration Date

(more than 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PM PEDIATRICS OF BAYSIDE PLLC
Primary location
19 SPRING VALLEY MARKET PLACE
SPRING VALLEY, NY 10977
Phone: (845) 371-5437 Fax:
Mailing address
ONE HOLLOW LANE
SUITE 301
LAKE SUCCESS, NY 11042
Phone: (516) 869-0650 Fax:
Organization Subpart
No
Authorized Official
DANIELLE LOPEZ
MANAGER CREDENTIALING/ENROLLMENT
Phone: (516) 207-7936
Updated
Certification Date
Jan 21, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QU0200X
- Clinic/Center / Urgent Care (Primary)
207PP0204X
- Emergency Medicine / Pediatric Emergency Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.