Individual provider Active NPI

Marie-Micheline Lominy, M.D

  • Pediatrics Physician
  • Mount Vernon, NY
National Provider Identifier
1013992288
Registry record updated Feb 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
237654 Issued in NY
Practice address
559 Gramatan Ave
Suite 203
Mount Vernon, NY 10552-2155
Phone
(914) 663-0151
Fax
(914) 663-0154
NPI assigned
Dec 10, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 237654 NY Primary

Addresses

Primary practice location

559 Gramatan Ave
Suite 203
Mount Vernon, NY 10552-2155

Mailing address

PO Box 381
Mount Vernon, NY 10552-0381
Phone (914) 664-4545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090131000070 NY Practitioner - Pediatric MedicinePractitioner - Emergency Medicine 3678637956 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Affiliate Group of New York PC CurrentSince Mar 1, 2024 Accepting new patients
Boston Children'S Health Physicians, LLP Pediatrics CurrentSince Jul 30, 2016 Accepting new patients
Boston Childrens Health Physicians LLP CurrentSince Jul 30, 2016 Accepting new patients
The New York and Presbyterian Hospital Past Accepting new patients

Locations

234 Eugenio Maria de Hosto Blvd
Bronx, NY 10451
Phone (718) 579-5874

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

19 Bradhurst Ave
Hawthorne, NY 10532
Phone (914) 493-7235

100 Stevens Ave
Fl 6
Mount Vernon, NY 10550

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: mariemicheline.lominy.p1@direct.cwpw.nextgenshare.com
  • Direct secure messaging: mal9280@direct.nyp.org
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1134172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203897600000",
    "number": "1013992288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 381",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105520381",
            "telephone_number": "914-664-4545",
            "fax_number": "914-664-0893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "559 GRAMATAN AVE",
            "address_2": "SUITE 203",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105522155",
            "telephone_number": "914-663-0151",
            "fax_number": "914-663-0154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOMINY",
        "first_name": "MARIE-MICHELINE",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-10",
        "last_updated": "2008-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "237654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, NY

Sources for this page

Verify at the official NPI Registry.