PM Pediatrics of Bayside, PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

PM PEDIATRICS OF BAYSIDE, PLLC

Practice address

210-31 26TH Avenue
Bayside, NY 11360-1949

Phone

(516) 677-5437

NPI assigned

Sep 17, 2010

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

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

CLIA laboratory certificates

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 Staten Island

  • Pediatrics Physician
  • Staten Island, NY
  • NPI 1629439427
  NPD tax ID

Locations

Practitioners 20

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

• Elizabeth Towne Cortez, PA

  • Physician Assistant
  • Syosset, NY
  • NPI 1215259411
  NPD (past)
• Khaalida Crosby, MD

  • Pediatrics Physician
  • Brooklyn, NY
  • NPI 1467886051
  NPD (past)
• Jennifer Ann Davis, M.D.

  • Pediatric Critical Care Medicine Physician
  • Yonkers, NY
  • NPI 1184680282
  NPD (past)
• Emily Kate Decuyper

  • Family Nurse Practitioner
  • Forest Hills, NY
  • NPI 1669184347
  NPD (past)
• Micaela Rose Fontanetta

  • Physician Assistant
  • Yonkers, NY
  • NPI 1174317127
  NPD (past)
• Carolyne Jean-Philippe, MD

  • Pediatrics Physician
  • Rockville Centre, NY
  • NPI 1912134404
  NPD (past)
• Priya Dipak Kholwadwala, D.O.

  • Pediatrics Physician
  • Bayside, NY
  • NPI 1528452539
  NPD (past)
• Blake Allister Le Grand, MD

  • Pediatrics Physician
  • Briarcliff Manor, NY
  • NPI 1699272567
  NPD (past)
• Anastasia Maria Liotopoulos, CPNP-PC

  • Pediatric Nurse Practitioner
  • Bayside, NY
  • NPI 1326874678
  NPD (past)
• Annie L Miranda, M.D.

  • Pediatric Emergency Medicine (Pediatrics) Physician
  • Hopewell Junction, NY
  • NPI 1851345102
  NPD (past)
• Cara Mullen, D.O.

  • Pediatrics Physician
  • Spring Valley, NY
  • NPI 1922409507
  NPD (past)
• Andre Persaud, M.D.

  • Pediatric Emergency Medicine (Pediatrics) Physician
  • Mamaroneck, NY
  • NPI 1457437881
  NPD (past)

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

{
    "created_epoch": "1284681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787184000000",
    "number": "1861700353",
    "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": "516-677-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210-31 26TH AVENUE",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113601949",
            "telephone_number": "516-677-5437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7020 Austin St",
            "address_purpose": "LOCATION",
            "city": "Forest Hills",
            "state": "NY",
            "postal_code": "113754775",
            "country_code": "US",
            "telephone_number": "718-268-4767",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5740 Broadway Unit E",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104634140",
            "country_code": "US",
            "telephone_number": "929-920-5437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2290 Central Park Ave",
            "address_purpose": "LOCATION",
            "city": "Yonkers",
            "state": "NY",
            "postal_code": "107101216",
            "country_code": "US",
            "telephone_number": "914-337-5437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1983 Route 52",
            "address_purpose": "LOCATION",
            "city": "Hopewell Junction",
            "state": "NY",
            "postal_code": "125333513",
            "country_code": "US",
            "telephone_number": "845-897-4500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2407 Richmond Ave",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103143906",
            "country_code": "US",
            "telephone_number": "718-472-5437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1823 86th St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112143703",
            "country_code": "US",
            "telephone_number": "718-234-5437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25311 Hillside Ave",
            "address_purpose": "LOCATION",
            "city": "Bellerose",
            "state": "NY",
            "postal_code": "114262153",
            "country_code": "US",
            "telephone_number": "929-438-5437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PM PEDIATRICS OF BAYSIDE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-17",
        "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": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Artem Pinkhasov, P.A.C
• Vadim Pinkhasov, NP
• Eric Pinto, M.D.
• Play to Learn, SLP PC
• Plus Drugs Inc
• Margaret Polino, M.S. ED.
• Alexa Christina Politis
• Chun Kit Poon, PA-C
• Lorraine Claire Popowitz, M.S. OTR/L
• Edward Martin Portnoy, DMD

• Specialist in Bayside, NY
• Providers in Bayside, NY by specialty
• Specialist 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.
• 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.