NPIMap

Organization Active NPI

PM Kids

  • Pediatrics Physician
  • White Plains, MD
National Provider Identifier
1689134124
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
PM KIDS
Practice address
4225 Altamont PL Ste 201
White Plains, MD 20695-3065
Phone
(240) 585-7128
NPI assigned
Mar 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Authorized official

Name
Dr. Wali Gauvin, MDNPI 1467485383
Title
Co-Owner
Phone
(516) 456-4706

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X Primary
Pediatric Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080P0202X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

4225 Altamont PL Ste 201
White Plains, MD 20695-3065

Mailing address

4225 Altamont PL Ste 201
White Plains, MD 20695-3065
Phone (240) 585-7128

Other practice location 1

23620 Three Notch Rd Unit 101
Hollywood, MD 20636-3083
Phone (240) 585-7128

National Provider Directory

National Provider Directory
Tax ID family
PM Kids2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

23620 Three Notch Rd
Unit 102
Hollywood, MD 20636

603 Post Office Rd
Ste 107
Waldorf, MD 20602

603 Post Office Rd
Waldorf, MD 20602
Phone (301) 705-7593

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1553126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774224000000",
    "number": "1689134124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4225 ALTAMONT PL STE 201",
            "city": "WHITE PLAINS",
            "state": "MD",
            "postal_code": "206953065",
            "telephone_number": "240-585-7128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4225 ALTAMONT PL STE 201",
            "city": "WHITE PLAINS",
            "state": "MD",
            "postal_code": "206953065",
            "telephone_number": "240-585-7128"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23620 Three Notch Rd Unit 101",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "MD",
            "postal_code": "206363083",
            "country_code": "US",
            "telephone_number": "240-585-7128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PM KIDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-21",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A",
        "authorized_official_last_name": "GAUVIN",
        "authorized_official_first_name": "WALI",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "516-456-4706",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.