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

Pm Pediatrics of Staten Island

Organization Pediatrics Physician · NPI 1629439427

Pm Pediatrics of Staten Island provides Pediatrics Physician services 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