Active NPI
PM Pediatrics of Maryland LLC
- Urgent Care Clinic/Center
- Germantown, MD
National Provider Identifier
1568358331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- PM PEDIATRICS OF MARYLAND LLC
- Practice address
- 19820 Century Blvd, Unit 5
Germantown, MD 20874-1198 - Phone
- (301) 528-5437
- NPI assigned
- Jun 17, 2025
- Organization subpart
- No
NPPES NPI Registry
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Primary |
Addresses
Primary practice location
19820 Century Blvd, Unit 5
Germantown, MD 20874-1198
Mailing address
1 Hollow LN Ste 301
New Hyde Park, NY 11042-1215
Phone (516) 207-7936
Other names 1
- PM Pediatrics of Maryland - Germantown
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D2153393 | PM Pediatrics of Germantown | Certificate of waiver | Aug 23, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- PM Pediatrics of Maryland LLC
Other organizations with this tax ID 10
Organizations that report the same tax identification number in the National Provider Directory.
-
- Urgent Care Clinic/Center
- Rockville, MD
- NPI 1023908969
-
- Urgent Care Clinic/Center
- Timonium, MD
- NPI 1043106776
-
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- District Heights, MD
- NPI 1255915088
-
- Urgent Care Clinic/Center
- Parkville, MD
- NPI 1265328983
-
- Urgent Care Clinic/Center
- Annapolis, MD
- NPI 1356237119
-
- Urgent Care Clinic/Center
- Gambrills, MD
- NPI 1467329094
-
- Urgent Care Clinic/Center
- Glen Burnie, MD
- NPI 1508752239
-
- Urgent Care Clinic/Center
- Laurel, MD
- NPI 1548156250
-
- Urgent Care Clinic/Center
- Elkridge, MD
- NPI 1679469431
-
- Urgent Care Clinic/Center
- Washington, DC
- NPI 1952297665
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750118400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787184000000",
"number": "1568358331",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19820 CENTURY BLVD, UNIT 5",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "208741198",
"telephone_number": "301-528-5437"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PM PEDIATRICS OF MARYLAND LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-17",
"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": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "PM Pediatrics of Maryland - Germantown",
"code": "5",
"type": "Other Name"
}
]
}
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- Stephany Alexandra Ponciano Guevara, LCPC
- Ingrid Faviola Ponciano, LMFT
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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.