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

I M Pediatrics PC

Organization Pediatrics Physician · NPI 1669456984

I M Pediatrics PC is a Pediatrics Physician 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.

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Practice location Address checks out

6412 Fresh Pond Rd
Ridgewood, NY 11385-3331
Phone: (718) 497-1565
Fax: (718) 497-1567
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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

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