Christine Pfundstein, PNP, CCE, IBCLC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

383001 Issued in NY

Practice address

111 Sylvan Ave
Miller Place, NY 11764-2420

Phone

(631) 928-4888

NPI assigned

Sep 26, 2016

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• PM Pediatrics of Mamaroneck

  • Urgent Care Clinic/Center
  • Mamaroneck, NY
  • NPI 1073645180
  NPD (past)
• PM Pediatrics PC

  • Urgent Care Clinic/Center
  • Syosset, NY
  • NPI 1730212390
  NPD (past)

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

{
    "created_epoch": "1474848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562198400000",
    "number": "1942759352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 SYCAMORE AVE",
            "city": "LAKE GROVE",
            "state": "NY",
            "postal_code": "117552726",
            "telephone_number": "516-521-2038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SYLVAN AVE",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117642420",
            "telephone_number": "631-928-4888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Sycamore Ave",
            "address_purpose": "LOCATION",
            "city": "Lake Grove",
            "state": "NY",
            "postal_code": "117552726",
            "country_code": "US",
            "telephone_number": "516-521-2038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PFUNDSTEIN",
        "first_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "PNP, CCE, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-26",
        "last_updated": "2019-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "NY",
            "license": "604599-1",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "383001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Pepe, LMHC
• Jared Scott Percyz, D.D.S.
• Alexandra Rose Peskin
• Peter J Stumpf DC PC
• Nicole Rose Petrocelli, R.D.
• Gina Phifer, PNP
• April L. Piecora, R.N.
• Nicole Pinto, RD
• Platinum Family Medicine P.C.
• Janelle Amber Polanco, RDN

• Pediatric Nurse Practitioner in Miller Place, NY
• Providers in Miller Place, NY by specialty
• Pediatric Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2019; 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.