Active NPI
PM Pediatrics of Selden
- Urgent Care Clinic/Center
- Selden, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- 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, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 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 |
|---|---|---|---|
| 33D1105581 | PM Pediatrics of Selden PLLC | Certificate of waiver | Mar 31, 2027 |
| 33D2074443 | PM Pediatrics of Selden, PLLC | Certificate of waiver | Jan 3, 2027 |
| 33D2134039 | PM Pediatrics of Selden PLLC | Certificate of waiver | Nov 16, 2026 |
| 33D2139804 | PM Pediatrics of Selden PLLC | Certificate of waiver | Nov 19, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- PM Pediatrics of Selden
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Specialist
- North Babylon, NY
- NPI 1902143886
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.
-
- Physician Assistant
- Selden, NY
- NPI 1356079016
-
- Pediatric Nurse Practitioner
- Selden, NY
- NPI 1386426807
-
- Emergency Medicine Physician
- Massapequa Park, NY
- NPI 1922884915
-
- Medical Physician Assistant
- Stony Brook, NY
- NPI 1609174796
-
- Pediatric Nurse Practitioner
- Commack, NY
- NPI 1134839889
-
- Pediatric Nurse Practitioner
- North Babylon, NY
- NPI 1750047742
-
- Pediatric Nurse Practitioner
- North Babylon, NY
- NPI 1821725805
-
- Physician Assistant
- Selden, NY
- NPI 1720313414
-
- Physician Assistant
- Selden, NY
- NPI 1336825702
-
- Pediatric Nurse Practitioner
- Massapequa Park, NY
- NPI 1568239689
-
- Pediatrics Physician
- Kings Park, NY
- NPI 1740843796
-
- Pediatrics Physician
- Rockville Centre, NY
- NPI 1912134404
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.