Active NPI
Mirette Alfred Fahim, MD
- Cardiovascular Disease Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 318075
- Practice address
- 281 1St Ave
New York, NY 10003-2925 - Phone
- (800) 420-4004
- NPI assigned
- Mar 27, 2019
- Last updated
- Oct 25, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Cardiovascular Disease Physician | 207RC0000X | 318075 | NY | Primary |
Addresses
Primary practice location
281 1St Ave
New York, NY 10003-2925
Mailing address
281 1St Ave
New York, NY 10003-2925
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
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700
13303 Jamaica Ave
Jamaica, NY 11418-2618
Phone (718) 206-6923
1401 Franklin Ave
Garden City, NY 11530-1613
Phone (516) 541-0300
1530 Front St
East Meadow, NY 11554-2265
Phone (516) 324-7500
159 E 53Rd St
New York, NY 10022-4602
Phone (646) 754-3300
180 E Pulaski Rd
Huntington Station, NY 11746-1915
Phone (516) 747-8900
2318 31St St
Suite 200
Astoria, NY 11105-2765
Phone (718) 777-7742
259 1St St
Mineola, NY 11501-3957
Phone (516) 222-8600
297 Mineola Blvd
Mineola, NY 11501-1502
Phone (516) 294-1377
530 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300
550 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300
560 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300
74 Kent St
Brooklyn, NY 11222-1517
Phone (516) 365-4949
Hospital & facility affiliations
- NYU Langone Hospitals
- Long Island Community Hospital
- Memorial Hospital for Cancer and Allied Diseases
- Long Island Jewish Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.8 of 100
- Quality
- 91.79
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.18
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Suffolk Medical, P.C. | Current | Accepting new patients | |
| New York University | Cardiovascular Disease | Current | Accepting new patients |
| New York University | Cardiovascular Disease | Current | Accepting new patients |
| Southwest Suffolk Medical PC | Current | Accepting new patients | |
| Nyumc Radiology Associates | Past | Accepting new patients |
Locations
245 Old Country Rd
Melville, NY 11747
Phone (631) 465-6141
212 Jericho Tpke
Mineola, NY 11501
Phone (516) 663-2599
13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942
100 Port Washington Blvd
Roslyn, NY 11576
Phone (516) 562-6385
48 Route 25A
Smithtown, NY 11787
Phone (631) 862-3540
14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- mfahim647298@nyumc.direct-ci.com
Organizations & group practices 5
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.
-
dba NYU Faculty Group Practice
- Cardiovascular Disease Physician
- Boynton Beach, FL
- NPI 1285826438
NY
-
- Surgical Oncology Physician
- Smithtown, NY
- NPI 1104096049
-
dba Samaritan Primary Care
- Family Medicine Physician
- Lindenhurst, NY
- NPI 1770919763
-
dba NYU Langone Ambulatory Care Chelsea
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
Cardiovascular Disease
-
- Diagnostic Radiology Physician
- New York, NY
- NPI 1962513101
Hospital & facility affiliations 15
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Hyde Park, NY
- NPI 1285641514
-
- General Acute Care Hospital
- New York, NY
- NPI 1700887411
-
dba NYU Langone Hospitals - Suffolk
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Patchogue, NY
- NPI 1013724061
Hospital
-
- Rehabilitation Hospital Unit
- New York, NY
- NPI 1275632895
-
dba NYU Langone Hospital Long Island
- General Acute Care Hospital
- Mineola, NY
- NPI 1427616002
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1619341716
-
- General Acute Care Hospital
- New York, NY
- NPI 1669578324
-
- General Acute Care Hospital
- New York, NY
- NPI 1801992631
-
dba NYU Langone Hospital - Suffolk
- General Acute Care Hospital
- Patchogue, NY
- NPI 1831910355
-
- Special Hospital
- New York, NY
- NPI 1770046351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729814400000",
"number": "1144781600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "281 1ST AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100032925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "281 1ST AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100032925",
"telephone_number": "800-420-4004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAHIM",
"first_name": "MIRETTE",
"middle_name": "ALFRED",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-27",
"last_updated": "2024-10-25",
"certification_date": "2024-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NY",
"license": "318075",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.