Individual provider Active NPI

Mirela Carnaru, D.O.

  • Family Medicine Physician
  • Woodside, NY
National Provider Identifier
1205889201
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
237584 Issued in NY
Practice address
5025 65TH St
Woodside, NY 11377-5810
Phone
(917) 589-0965
NPI assigned
May 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 237584 NY Primary

Addresses

Primary practice location

5025 65TH St
Woodside, NY 11377-5810

Mailing address

5025 65TH St
Woodside, NY 11377-5810
Phone (917) 589-0965

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
I20060622000032 NY Practitioner - Family Practice 6204848948 Reassigns benefits to 1 organization
Practice locations: Glendale, NY

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City Medical of Upper East Side PLLCGroup PAC ID 0648465039, 658 clinicians

Practice addresses (Care Compare)

256 Utica Ave
Brooklyn, NY 11213-4029
Phone (718) 571-9355

Merit-based Incentive Payment System (MIPS)

Final score
86.33 of 100Reported as group
Quality
82.1
Promoting interoperability
100
Improvement activities
40
Cost
72.34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
237584NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
City Medical of Upper East Side, PLLC Current Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Jul 17, 2020 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Jul 17, 2020 Accepting new patients
Comprehensive Women'S Health of N.Y. PLLC PastSince Jan 9, 2009 Accepting new patients
Prominis Medical Services PC PastSince Oct 23, 2004 Accepting new patients

Locations

2248 31st St
Astoria, NY 11105
Phone (718) 267-1333

3111 Steinway St
Astoria, NY 11103
Phone (718) 475-2345

256 Utica Ave
Brooklyn, NY 11213
Phone (718) 571-9355

336 E 86th St
New York, NY 10028
Phone (212) 772-3627

Interoperability endpoints

  • Direct secure messaging: mirela.carnaru.1@2983.direct.athenahealth.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1205889201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5025 65TH ST",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113775810",
            "telephone_number": "917-589-0965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5025 65TH ST",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113775810",
            "telephone_number": "917-589-0965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARNARU",
        "first_name": "MIRELA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "237584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodside, NY

Sources for this page

Verify at the official NPI Registry.