Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

I M Pediatrics PC

Organization Pediatrics Physician · NPI 1669456984

I M Pediatrics PC provides Pediatrics Physician services in Ridgewood, New York. Licensed in New York. Registered with an NPI since 2005.

Licensed in
NY
In the registry since
2005
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

6412 Fresh Pond Rd
Ridgewood, NY 11385-3331 Not confirmed with CMS for 14 years — call before visiting
Phone: (718) 497-1565
Fax: (718) 497-1567
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 217951 (NY)

Record details

NPI number1669456984
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Iwona Mienko — President · (718) 497-1565
NPI enumeratedNovember 30, 2005
Last updated in NPPESFebruary 24, 2012
Mailing address6412 Fresh Pond Rd, Ridgewood, NY 11385-3331

Other providers in Ridgewood