NPIMap

Organization Active NPI

PM Pediatrics of New England LLC

  • Pediatrics Physician
  • Dedham, NY
National Provider Identifier
1851828107
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
PM PEDIATRICS OF NEW ENGLAND LLC
Practice address
719 Providence Highway
Dedham, NY 02026
Phone
(781) 461-6767
Fax
(781) 461-6774
NPI assigned
May 17, 2017
Last updated
Jul 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 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
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X MA Primary
Urgent Care Clinic/Center 261QU0200X

Addresses

Primary practice location

719 Providence Highway
Dedham, NY 02026

Mailing address

1 Hollow LN Ste 301
New Hyde Park, NY 11042-1215
Phone (516) 869-0650

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
22D2132348PM Pediatrics of New England, LLC, Dedham719 Providence Highway, Dedham, MA 02026Certificate of waiverSep 24, 2027

National Provider Directory

National Provider Directory
Tax ID family
PM Pediatrics of New England LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

737 Broadway
Saugus, MA 01906
Phone (339) 399-5437

99 Commerce Way
Woburn, MA 01801
Phone (516) 207-7936

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": "1494979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783900800000",
    "number": "1851828107",
    "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": "516-869-0650",
            "fax_number": "516-673-9408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 PROVIDENCE HIGHWAY",
            "city": "DEDHAM",
            "state": "NY",
            "postal_code": "02026",
            "telephone_number": "781-461-6767",
            "fax_number": "781-461-6774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PM PEDIATRICS OF NEW ENGLAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-17",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "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": "MA",
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.