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I M Pediatrics PC

I M Pediatrics PC is a healthcare organization registered as Pediatrics Physician in Ridgewood, NY, holding Type 2 (organization) NPI 1669456984 since 2005. The authorized official on file is Iwona Mienko, President.

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NPI 1669456984
Entity type Organization (Type 2)
Legal business name I M Pediatrics PC
Practice address 6412 FRESH POND RD, Ridgewood, NY, 11385
Phone 7184971565
Fax 7184971567
Enumeration date 2005-11-30
Last updated in NPPES 2012-02-24

Authorized official

Name Iwona Mienko
Title President
Phone 7184971565

Taxonomy & classification

Taxonomy code Specialty Primary License State
208000000X Pediatrics Physician Primary 217951 NY

Other identifiers

Identifier Type State Issuer
02105622 Medicaid NY
Copy-ready billing details
Provider: I M Pediatrics PC
NPI: 1669456984
Taxonomy: 208000000X (Pediatrics Physician)
Address: 6412 FRESH POND RD, Ridgewood, NY, 11385

Providers at this address

NPI Name Type Specialty Location
1376541672 Karen Aglietti Individual Foot Surgery Podiatrist Ridgewood, NY
1780895888 Middle Village Podiatry, PC Organization Podiatrist Ridgewood, NY
1609140334 Iwona Mienko Individual Pediatrics Physician Ridgewood, NY

Verify this record

Cross-check NPI 1669456984 against the authoritative CMS record: view I M Pediatrics PC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

What is the NPI number for I M Pediatrics PC?
The NPI for I M Pediatrics PC is 1669456984, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for I M Pediatrics PC?
NPPES lists Iwona Mienko (President) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2012-02-24.