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

Pm Pediatrics of Staten Island

Organization Pediatrics Physician · NPI 1629439427

Pm Pediatrics of Staten Island is a Pediatrics Physician in Staten Island, New York. Licensed in New York. Registered with an NPI since 2016.

Licensed in
NY
In the registry since
2016
Specialties on file
2

Practice location Address checks out

2407 Richmond Ave
Staten Island, NY 10314-3906
Phone: (718) 698-5437
Fax: (718) 698-5444
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X (NY)
Urgent Care Clinic/Center Taxonomy 261QU0200X

Record details

NPI number1629439427
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Danielle Lopez — Manager Credentialing/Enrollment · (516) 207-7936
NPI enumeratedMarch 8, 2016
Last updated in NPPESJanuary 21, 2025
Certification dateJanuary 21, 2025
Mailing address1 Hollow Ln, New Hyde Park, NY 11042-1220

Other providers in Staten Island