Active NPI
Carol Ann Minnerop
- Internal Medicine Physician
- New York City, NY
National Provider Identifier
1053357152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 116588
- Practice address
- 51 E 90TH St
New York City, NY 10128 - Phone
- (212) 861-9012
- Fax
- (212) 369-4034
- NPI assigned
- Jun 20, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 116588 | NY | Primary |
Addresses
Primary practice location
51 E 90TH St
New York City, NY 10128
Mailing address
51 E 90TH St
New York City, NY 10128
Phone (212) 861-9012
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 116588 | Other | HIP | |
| 0004668440 | Other | AETNA US HEALTHCARE | |
| 333301 | Other | BLUE CROSS BLUE SHIELD | |
| 00215930 | Medicaid | NY | |
| 0026029 | Other | AETNA | |
| 0096733 | Other | GHI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 116588 | NY | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053357152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51 E 90TH ST",
"city": "NEW YORK CITY",
"state": "NY",
"postal_code": "10128",
"telephone_number": "212-861-9012",
"fax_number": "212-369-4034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 E 90TH ST",
"city": "NEW YORK CITY",
"state": "NY",
"postal_code": "10128",
"telephone_number": "212-861-9012",
"fax_number": "212-369-4034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINNEROP",
"first_name": "CAROL",
"middle_name": "ANN",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "116588",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP",
"identifier": "116588",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA US HEALTHCARE",
"identifier": "0004668440",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "333301",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00215930",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0026029",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "0096733",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in New York City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.