Regina Ann Mirra

Primary specialty

SpecialistTaxonomy code 174400000X

License

135687861 Issued in NY

Practice address

501 Chestnut Ridge Rd Ste 205
Chestnut Ridge, NY 10977-5669

Phone

(845) 738-4362

NPI assigned

Apr 10, 2018

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1523318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523318400000",
    "number": "1255838876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 1ST ST",
            "city": "HARRISON",
            "state": "NY",
            "postal_code": "105284428",
            "telephone_number": "914-815-3189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 CHESTNUT RIDGE RD STE 205",
            "city": "CHESTNUT RIDGE",
            "state": "NY",
            "postal_code": "109775669",
            "telephone_number": "845-738-4362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRRA",
        "first_name": "REGINA",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-10",
        "last_updated": "2018-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "135687861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tania McMenamin, MST
• Liliana Melendez
• Baila Merling
• Lee Elizabeth Miller
• Janis Ellyn Mills, CCC-SLP
• Naresh C Mittal
• Kathleen Ann Monterola
• Robert B Mytelka
• Hayley Audra Nathanson, DC
• Robin Nemeroff, PH.D.

• Specialist in Chestnut Ridge, NY
• Providers in Chestnut Ridge, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2018; 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.