OrganizationActive
I M Pediatrics PC
NPI 1669456984 · Pediatrics Physician · Ridgewood, NY
I M Pediatrics PC is a Pediatrics Physician organization in Ridgewood, NY (NPI 1669456984).
Provider details
- NPI number
- 1669456984
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Iwona Mienko, President(718) 497-1565
- License
- 217951 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6412 Fresh Pond Rd
Ridgewood, NY 11385-3331
Phone: (718) 497-1565
Fax: (718) 497-1567
Street-level locationGet directions
Mailing address
6412 Fresh Pond Rd
Ridgewood, NY 11385-3331
Registry dates
- Enumerated
- 2005-11-30
- Last updated
- 2012-02-24
Frequently asked questions
- What is I M Pediatrics PC's NPI number?
- I M Pediatrics PC's National Provider Identifier (NPI) is 1669456984, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is I M Pediatrics PC?
- I M Pediatrics PC is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is I M Pediatrics PC located?
- I M Pediatrics PC's practice location on file with NPPES is 6412 Fresh Pond Rd, Ridgewood, NY 11385-3331.
- What is I M Pediatrics PC's phone number?
- The practice phone number listed in the NPPES registry for I M Pediatrics PC is (718) 497-1565.
- Who is the authorized official for I M Pediatrics PC?
- The authorized official listed on I M Pediatrics PC's NPPES record is Iwona Mienko, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is I M Pediatrics PC's NPI active?
- Yes — I M Pediatrics PC's NPI (1669456984) is active in the NPPES registry as of the last update on 2012-02-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.