Individual provider Active NPI

Mergie Desir, M.D. , M. P. H.

  • Family Medicine Physician
  • Fresh Meadows, NY
National Provider Identifier
1053360743
Registry record updated Jun 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
219313 Issued in NY
Practice address
7580 184TH St
Fresh Meadows, NY 11366-1715
Phone
(718) 805-1215
Fax
(718) 805-1218
NPI assigned
May 9, 2006
Last updated
Jun 24, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 219313 NY Primary

Addresses

Primary practice location

7580 184TH St
Fresh Meadows, NY 11366-1715

Mailing address

7580 184TH St
Fresh Meadows, NY 11366-1715
Phone (718) 805-1215

Other identifiers 1

IdentifierTypeStateIssuer
00695941MedicaidNY

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
I20050321000300 NY Practitioner - Family Practice 8628023835 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Icahn School of Medicine at Mount Sinai, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Joseph P. Addabbo Family Health Center, Inc.Group PAC ID 0749174654, shared by 5 NPIs, 30 clinicians

Practice addresses (Care Compare)

11439 Sutphin Blvd
Jamaica, NY 11434-1022
Phone (718) 945-7150

7580 184TH St
Fresh Meadows, NY 11366-1715
Phone (718) 805-1215

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mergie Desir, M.D., P.L.L.C. Family Medicine CurrentSince Jun 21, 2007 Accepting new patients
CMC Housestaff Family Medicine Past Accepting new patients
Joseph P. Addabbo Family Health Center, Inc. Past Accepting new patients
Lafayette Medical Office, PC Family Medicine Past Accepting new patients

Locations

7580 184th St
Fresh Meadows, NY 11366
Phone (347) 497-9152

Networks

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DGCFAA/Endpoint/DGCFAA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1053360743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7580 184TH ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661715",
            "telephone_number": "718-805-1215",
            "fax_number": "718-805-1218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7580 184TH ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661715",
            "telephone_number": "718-805-1215",
            "fax_number": "718-805-1218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESIR",
        "first_name": "MERGIE",
        "credential": "M.D. , M. P. H.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-09",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "219313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00695941",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresh Meadows, NY

Sources for this page

Verify at the official NPI Registry.