PM PEDIATRICS OF SELDEN (NPI# 1902143886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902143886 |
| Entity Type | Organization |
| Organization Name | PM PEDIATRICS OF SELDEN |
| Practice Address |
1130 Deer Park Ave North Babylon NY 11703-3102 |
| Mailing Address |
1 Hollow Ln New Hyde Park NY 11042-1220 |
| Practice Telephone | 6316965437 |
| Practice Fax Number | 6316982049 |
| Mailing Telephone | 5168690650 |
| Mailing Fax Number | 5168690655 |
| Enumeration Date | 2013-01-11 |
| Last Update Date | 2013-07-03 |
| Authorized Official Name | DR. FAIZ AHMAD (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 6316965437 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790914042 | Pm Pediatrics of Selden | Specialist | 239 Middle Country Rd, Selden, NY 11784-2516 | 2009-07-08 |
| Street Address |
1130 DEER PARK AVE |
| City | NORTH BABYLON |
| State | NY |
| Zip Code | 11703-3102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215405980 | Esther Williams Ekanem | Counselor | 391 Nelligan Ct, North Babylon, NY 11703 | 2018-11-10 |
| 1063968782 | Kimberly Myers | Speech-Language Pathologist | 523 Polaris Street, North Babylon, NY 11703 | 2016-09-01 |
| 1760830749 | Christian Nursing Registry | Nursing Care | 11 Faulkner Ave, North Babylon, NY 11703 | 2016-05-31 |
| 1932475308 | Michael Henry Polcino | Surgery | 796 Deep Park Avenue, North Babylon, NY 11703 | 2012-03-29 |
| 1801175468 | Jean Emelda Swan | Registered Nurse | 619 Mount Avenue, North Babylon, NY 11703 | 2011-08-12 |
| 1124354303 | Kim Shek | Registered Nurse | 134 Colonial Road, North Babylon, NY 11703 | 2009-10-23 |
| 1861633398 | Christine Ann Hedley | Registered Nurse | 91 East Shore Drive, Babylon, NY 11703 | 2009-03-12 |
| 1720232788 | Muriel Ellen Mccleave | Registered Nurse | 746 Deer Park Ave., No. Babylon, NY 11703 | 2008-11-04 |
| 1467625624 | Kathleen Uzzi Jeremiah | Nurse Practitioner | 1486 Deer Park, Unit A, North Babylon, NY 11703 | 2008-04-09 |
| 1992864938 | Jason B Hitner | Pediatrics | 925 Deer Park Ave, North Babylon, NY 11703 | 2006-12-06 |
| Find all providers in zip 11703 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316572704 | Alyson Szczesniak | Specialist | 73 Parkdale Dr, North Babylon, NY 11703-3307 | 2020-03-06 |
| 1801366075 | Lisa Mistretta | Specialist | 83 Hitherdell Ln, North Babylon, NY 11703-5118 | 2018-11-30 |
| 1154820959 | Annemarie Goldberg | Specialist | 35 Bluebell Ln, North Babylon, NY 11703-2816 | 2018-02-07 |
| 1912369299 | Francesca Leclaire | Specialist | 20 Dulittle St, North Babylon, NY 11703-4410 | 2016-03-24 |
| 1720490295 | Melisa Stolberg-beck | Specialist | 21 Parliament Pl, North Babylon, NY 11703-3309 | 2014-06-02 |
| 1629499694 | Norma V Brigido-zavala | Specialist | 590 Garnet St, North Babylon, NY 11703-2206 | 2013-12-18 |
| 1558706416 | Kelly Ann Rosario | Specialist | 94 Brookside Ave, North Babylon, NY 11703-4916 | 2013-05-06 |
| 1467709584 | Tiffany Stumpf | Specialist | 5 Kays Ct, North Babylon, NY 11703-5001 | 2012-08-08 |
| 1932456225 | Danielle Michelle Longwell | Specialist | 335 Cooper Rd, North Babylon, NY 11703-4428 | 2012-08-06 |
| 1215299391 | Brittany Sporre | Specialist | 11 Frankie Ln, North Babylon, NY 11703-3701 | 2012-06-13 |
| Find all providers in NORTH BABYLON | ||||
| City | NORTH BABYLON |
| Zip Code | 11703 |
Please comment or provide details below to improve the information on PM PEDIATRICS OF SELDEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.