NPIMap

Organization Active NPI

PM Pediatrics of Mamaroneck

  • Urgent Care Clinic/Center
  • Mamaroneck, NY
National Provider Identifier
1073645180
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
PM PEDIATRICS OF MAMARONECK
Doing business as
PM Pediatrics Of Mamaroneck
Practice address
622 East Boston Post Rd
Mamaroneck, NY 10543
Phone
(914) 777-5437
Fax
(914) 630-0907
NPI assigned
Mar 12, 2007
Last updated
Aug 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kristen Hanly
Title
Director of RCM Operations
Phone
(516) 207-7919

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X NU Primary
Specialist 174400000X NU

Addresses

Primary practice location

622 East Boston Post Rd
Mamaroneck, NY 10543

Mailing address

1 Hollow LN Ste 301
New Hyde Park, NY 11042-1215
Phone (516) 207-7936

Other names 1

  • PM Pediatrics Of Mamaroneck Doing business as

National Provider Directory

National Provider Directory

Locations

622 E Boston Post Rd
Mamaroneck, NY 10543
Phone (914) 777-5437

Practitioners & affiliated clinicians

Practitioners 226

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 226

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787184000000",
    "number": "1073645180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HOLLOW LN STE 301",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421215",
            "telephone_number": "516-207-7936",
            "fax_number": "516-207-7851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 EAST BOSTON POST RD",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "10543",
            "telephone_number": "914-777-5437",
            "fax_number": "914-630-0907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PM PEDIATRICS OF MAMARONECK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A",
        "authorized_official_last_name": "HANLY",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "DIRECTOR OF RCM OPERATIONS",
        "authorized_official_telephone_number": "516-207-7919"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PM Pediatrics Of Mamaroneck",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PM Pediatrics Of Mamaroneck",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mamaroneck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.