Richmond Hill Pediatric Associates

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

224297 Issued in NY

Legal business name

RICHMOND HILL PEDIATRIC ASSOCIATES

Practice address

11607 Metropolitan Ave Ste 101
Richmond Hill, NY 11418-1018

Phone

(718) 850-9225

Fax

(718) 850-9226

NPI assigned

May 17, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Nancy Eliana Wallach, MDNPI 1740392737

Title

President / Physician

Phone

(718) 850-9225

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Metro Medical Group Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nancy Eliana Wallach, MD

  • Pediatric Adolescent Medicine Physician
  • Richmond Hill, NY
  • NPI 1740392737
  NPD Authorized official

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

{
    "created_epoch": "1305590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772409600000",
    "number": "1366735862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11607 METROPOLITAN AVE STE 101",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114181018",
            "telephone_number": "718-850-9225",
            "fax_number": "718-850-9226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11607 METROPOLITAN AVE STE 101",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114181018",
            "telephone_number": "718-850-9225",
            "fax_number": "718-850-9226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHMOND HILL PEDIATRIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-17",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A",
        "authorized_official_last_name": "WALLACH",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "ELIANA",
        "authorized_official_title_or_position": "PRESIDENT / PHYSICIAN",
        "authorized_official_telephone_number": "718-850-9225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NY",
            "license": "224297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02244920",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "224297",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metro Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richmond Hill Chiropractic PC
• Richmond Hill Dental Ass LLP
• Richmond Hill Family Dental PC
• Richmond Hill Family Foot Care, P.C.
• Richmond Hill Family Foot Care, PC
• Richmond Hill Pharmacy
• Richmond Hill Pharmacy Inc.
• Richmond Hill Pharmacy Inc.
• Richmond Hill Pulmonary & Sleep Medicine PC
• Richmond Hill Radiology, P.C.

• Pediatric Adolescent Medicine Physician in Richmond Hill, NY
• Providers in Richmond Hill, NY by specialty
• Pediatric Adolescent Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.