Individual provider Active NPI

Eirene Mamakos Milano, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Woodbury, NY
National Provider Identifier
1154597425
Registry record updated May 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
247313 Issued in NY
Practice address
99 Sunnyside Blvd
C/O Hospice Care Network
Woodbury, NY 11797-2946
Phone
(516) 832-7100
NPI assigned
May 6, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 247313 NY
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 247313 NY Primary

Addresses

Primary practice location

99 Sunnyside Blvd
C/O Hospice Care Network
Woodbury, NY 11797-2946

Mailing address

52 Balsam Dr
Dix Hills, NY 11746-7725
Phone (718) 926-7383

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
I20221207002251 NY Order and Referring Only - Internal MedicinePractitioner - Internal MedicinePractitioner - Hospice/Palliative CarePractitioner - Geriatric Medicine 2769548577

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
247313NYMDInternal Medicine Physician

Interoperability endpoints

  • Direct secure messaging: emilano67650@northwell.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273536000000",
    "number": "1154597425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 BALSAM DR",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117467725",
            "telephone_number": "718-926-7383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 SUNNYSIDE BLVD",
            "address_2": "C/O HOSPICE CARE NETWORK",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117972946",
            "telephone_number": "516-832-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILANO",
        "first_name": "EIRENE",
        "middle_name": "MAMAKOS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-06",
        "last_updated": "2010-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "247313",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "247313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, NY

Sources for this page

Verify at the official NPI Registry.