Organization Active NPI

PM Pediatrics of Nevada-Bachman, P.C.

  • Urgent Care Clinic/Center
  • New Hyde Park, NY
National Provider Identifier
1942954904
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
PM PEDIATRICS OF NEVADA-BACHMAN, P.C.
Practice address
1 Hollow LN Ste 301
New Hyde Park, NY 11042-1215
Phone
(516) 207-7851
NPI assigned
Feb 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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

Authorized official

Name
Ms. Marlena Simpson, CPMSM
Title
Sr. Director, Cred & Enrollment
Phone
(516) 207-7851

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

1 Hollow LN Ste 301
New Hyde Park, NY 11042-1215

Mailing address

1 Hollow LN Ste 301
New Hyde Park, NY 11042-1215
Phone (516) 207-7851

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1644364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644364800000",
    "number": "1942954904",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOLLOW LN STE 301",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421215",
            "telephone_number": "516-207-7851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PM PEDIATRICS OF NEVADA-BACHMAN, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-09",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "MARLENA",
        "authorized_official_title_or_position": "SR. DIRECTOR, CRED & ENROLLMENT",
        "authorized_official_telephone_number": "516-207-7851",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CPMSM"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; 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.