Active NPI
PM Pediatrics of Nevada-Bachman, P.C.
- Urgent Care Clinic/Center
- New Hyde Park, NY
National Provider Identifier
1942954904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 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 DirectoryNPI 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.