PM Pediatrics of Selden

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

PM PEDIATRICS OF SELDEN

Practice address

1130 Deer Park Ave
North Babylon, NY 11703-3102

Phone

(631) 696-5437

Fax

(631) 698-2049

NPI assigned

Jan 11, 2013

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

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.

• PM Pediatrics of Selden

  • Urgent Care Clinic/Center
  • Selden, NY
  • NPI 1790914042
  NPD tax ID

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

{
    "created_epoch": "1357862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787184000000",
    "number": "1902143886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HOLLOW LN",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421220",
            "telephone_number": "516-869-0650",
            "fax_number": "516-869-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 DEER PARK AVE",
            "city": "NORTH BABYLON",
            "state": "NY",
            "postal_code": "117033102",
            "telephone_number": "631-696-5437",
            "fax_number": "631-698-2049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PM PEDIATRICS OF SELDEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-11",
        "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": []
}

• Islande Pierre Louis, LPN
• Diane Pierre, RN
• Melissa Pierre
• Lourdes Pileta, M.D.
• Krystal Plummer, PMHNP-BC
• Dennis Ponteres, P.T.
• Kimberly Pough
• Anthony Pozun
• Laura Primm, OTR/L
• Progressive Arrhythmia & Cardiac Care PLLC

• Specialist in North Babylon, NY
• Providers in North Babylon, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.