Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bayside Pediatrics PC

Organization Pediatrics Physician · NPI 1720565187

Bayside Pediatrics PC is a Pediatrics Physician in Bayside, New York. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4223 212th St Ste 1A
Bayside, NY 11361-2987
Phone: (718) 229-7337
Fax: (718) 229-7333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1720565187
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Yohan Park — Medical Doctor · (718) 229-7337
NPI enumeratedJuly 27, 2018
Last updated in NPPESJanuary 21, 2022
Certification dateJanuary 21, 2022
Mailing address4223 212th St Ste 1a, Bayside, NY 11361-2987

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