Hillside Medical Assoc., P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

181084 Issued in NY

Legal business name

HILLSIDE MEDICAL ASSOC., P.C.

Practice address

915 Hillside Ave
New Hyde Park, NY 11040-2529

Phone

(516) 437-9660

Fax

(516) 328-9355

NPI assigned

Aug 31, 2006

Last updated

Mar 20, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Susan E Mirkinson, MD.NPI 1558473629

Title

Vice President

Phone

(516) 437-9660

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Susan E Mirkinson, M.D.

  • Internal Medicine Physician
  • Great Neck, NY
  • NPI 1558473629
  NPD (past) Authorized official

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205971200000",
    "number": "1235241118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 HILLSIDE AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110402529",
            "telephone_number": "516-437-9660",
            "fax_number": "516-328-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 HILLSIDE AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110402529",
            "telephone_number": "516-437-9660",
            "fax_number": "516-328-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLSIDE MEDICAL ASSOC., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-03-20",
        "status": "A",
        "authorized_official_last_name": "MIRKINSON",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "516-437-9660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "181084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH INC.",
            "identifier": "5501240",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ayelet B Hilewitz, M.D.
• Barbara Hill, PT
• Tatyanna Hill, FNP
• Hillside Heart LLC
• Hillside Infectious Disease Consulting PLLC
• Hillside Ophthalmology PLLC
• Hillside Senior Center LLC
• Hillside TMS Medical PLLC
• Adam Hines, M.D.
• John Hines, MD

• Internal Medicine Physician in New Hyde Park, NY
• Providers in New Hyde Park, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; 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.