NPIMap

Organization Active NPI

PM Pediatrics of Maryland LLC

  • Urgent Care Clinic/Center
  • Gambrills, MD
National Provider Identifier
1467329094
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
PM PEDIATRICS OF MARYLAND LLC
Practice address
1071 Maryland Route 3 N Ste 101
Gambrills, MD 21054-1784
Phone
(240) 502-5437
NPI assigned
Oct 20, 2025
Last updated
Nov 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

1071 Maryland Route 3 N Ste 101
Gambrills, MD 21054-1784

Mailing address

1 Hollow LN Ste 301
New Hyde Park, NY 11042-1215

National Provider Directory

National Provider Directory
Tax ID family
PM Pediatrics of Maryland LLC11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1760918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762992000000",
    "number": "1467329094",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1071 MARYLAND ROUTE 3 N STE 101",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "210541784",
            "telephone_number": "240-502-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PM PEDIATRICS OF MARYLAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-20",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A",
        "authorized_official_last_name": "HANLY",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "SENIOR MANAGER OF RCM OPERATIONS",
        "authorized_official_telephone_number": "516-207-7919"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gambrills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; 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.