Mirelle Thaler, DO

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

322003-01 Issued in NY

Practice address

212 E 106TH St
New York, NY 10029-4007

Phone

(212) 360-2600

Fax

(718) 652-6692

NPI assigned

Mar 27, 2020

Last updated

Sep 6, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

Networks

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

Interoperability endpoints

• Direct secure messaging: mirelle.thaler.1@32149.direct.athenahealth.com

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

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1063040988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 E 106TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100294007",
            "telephone_number": "212-360-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 E 106TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100294007",
            "telephone_number": "212-360-2600",
            "fax_number": "718-652-6692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THALER",
        "first_name": "MIRELLE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-27",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "322003-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison Ilana Thaler, M.D.
• Jonathan Emanuel Thaler, MD
• Jordan Matthew Thaler
• Lisa Thaler, LCSW
• Malcolm S Thaler, MD
• Susan Thaler, LCSW
• Akiva Joseph Thalheim, LMSW, CASAC-T
• Sithara Thalluri, PA-C
• Thalmax Nursing Agency
• Emily Tham

• Pediatrics Physician in New York, NY
• Providers in New York, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.