PM Pediatrics of Staten Island

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PM PEDIATRICS OF STATEN ISLAND

Practice address

2407 Richmond Ave
Staten Island, NY 10314-3906

Phone

(718) 698-5437

Fax

(718) 698-5444

NPI assigned

Mar 8, 2016

Organization subpart

No

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

Addresses

Tax ID family

PM Pediatric Urgent Care Nanuet Ny3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• PM Pediatrics of Bayside PLLC

  • Urgent Care Clinic/Center
  • Nanuet, NY
  • NPI 1861823197
  NPD tax ID
• PM Pediatrics of Bayside, PLLC

  • Specialist
  • Bayside, NY
  • NPI 1861700353
  NPD tax ID

Locations

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

{
    "created_epoch": "1457395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787184000000",
    "number": "1629439427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HOLLOW LN",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421220",
            "telephone_number": "516-869-0650",
            "fax_number": "516-869-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2407 RICHMOND AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143906",
            "telephone_number": "718-698-5437",
            "fax_number": "718-698-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PM PEDIATRICS OF STATEN ISLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-08",
        "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": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexus Paige Ploucher, BCBA, MS
• Amanda Pluchino
• Robert Pluchino, OD
• Stefanie Iris Plust
• Charles E Pluviose
• Pmy, LLC
• Danielle Marie Pobega, PHARMD
• Elona Pocesta
• Wendy Podber
• Podiatry Associates of New York

• Pediatrics Physician in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Pediatrics Physician in New York

• 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.