Organization Active NPI

PM Pediatrics of Selden

  • Urgent Care Clinic/Center
  • Selden, NY
National Provider Identifier
1790914042
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
PM PEDIATRICS OF SELDEN
Practice address
239 Middle Country Rd
Selden, NY 11784-2516
Phone
(631) 696-5437
NPI assigned
Jul 8, 2009
Last updated
Aug 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X NU Primary
Specialist 174400000X NU

Addresses

Primary practice location

239 Middle Country Rd
Selden, NY 11784-2516

Mailing address

1 Hollow LN Ste 301
New Hyde Park, NY 11042-1215
Phone (516) 207-7851

Other practice location 1

350 Sunrise Hwy
Rockville Centre, NY 11570-4908
Phone (516) 763-4764

Other practice location 2

181 Old Country Rd
Carle Place, NY 11514-1907
Phone (516) 248-5437

Other practice location 3

6218 Jericho Tpke
Commack, NY 11725-2801
Phone (631) 499-5437

Other practice location 4

5050 Sunrise Hwy
Massapequa Park, NY 11762-2928
Phone (516) 541-5437

Other practice location 5

1130 Deer Park Ave
North Babylon, NY 11703-3102
Phone (631) 667-4767

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D1105581PM Pediatrics of Selden PLLC239 Middle Country Road, Selden, NY 11784Certificate of waiverMar 31, 2027
33D2074443PM Pediatrics of Selden, PLLC181 Old Country Road, Carle Place, NY 11514Certificate of waiverJan 3, 2027
33D2134039PM Pediatrics of Selden PLLC5050 Sunrise Highway, Massapequa Park, NY 11762Certificate of waiverNov 16, 2026
33D2139804PM Pediatrics of Selden PLLC350 Sunrise Highway, Rockville Centre, NY 11570Certificate of waiverNov 19, 2026

National Provider Directory

National Provider Directory
Tax ID family
PM Pediatrics of Selden2 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

239 Middle Country Rd
Selden, NY 11784
Phone (631) 696-5437

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1247011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787184000000",
    "number": "1790914042",
    "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": "516-207-7851",
            "fax_number": "516-207-7851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 MIDDLE COUNTRY RD",
            "city": "SELDEN",
            "state": "NY",
            "postal_code": "117842516",
            "telephone_number": "631-696-5437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 Sunrise Hwy",
            "address_purpose": "LOCATION",
            "city": "Rockville Centre",
            "state": "NY",
            "postal_code": "115704908",
            "country_code": "US",
            "telephone_number": "516-763-4764",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "181 Old Country Rd",
            "address_purpose": "LOCATION",
            "city": "Carle Place",
            "state": "NY",
            "postal_code": "115141907",
            "country_code": "US",
            "telephone_number": "516-248-5437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6218 Jericho Tpke",
            "address_purpose": "LOCATION",
            "city": "Commack",
            "state": "NY",
            "postal_code": "117252801",
            "country_code": "US",
            "telephone_number": "631-499-5437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5050 Sunrise Hwy",
            "address_purpose": "LOCATION",
            "city": "Massapequa Park",
            "state": "NY",
            "postal_code": "117622928",
            "country_code": "US",
            "telephone_number": "516-541-5437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1130 Deer Park Ave",
            "address_purpose": "LOCATION",
            "city": "North Babylon",
            "state": "NY",
            "postal_code": "117033102",
            "country_code": "US",
            "telephone_number": "631-667-4767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PM PEDIATRICS OF SELDEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-08",
        "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": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Selden, NY

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.

Verify at the official NPI Registry.