Organization Active NPI

Dr Miriam N Casal M D P C

  • Dermatopathology Physician
  • Jackson Heights, NY
National Provider Identifier
1265673495
Registry record updated Feb 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology PhysicianTaxonomy code 207ND0900X
License
183943 Issued in NY
Legal business name
DR MIRIAM N CASAL M D P C
Practice address
37-42 St
Jackson Heights, NY 11372
Phone
(718) 803-3000
Fax
(775) 243-5227
NPI assigned
Mar 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2017

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

Authorized official

Name
Mr. Aldo A Casal
Title
Office Manager
Phone
(718) 803-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ND0900X 183943 NY Primary

Addresses

Primary practice location

37-42 St
Jackson Heights, NY 11372

Mailing address

37-42 St
Jackson Heights, NY 11372
Phone (718) 803-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100618000214 NY Part B Supplier - Clinic/Group Practice 2264570233 Receives reassigned benefits from 2 practitioners
Practice locations: Jackson Heights, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1237334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486512000000",
    "number": "1265673495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37-42 ST",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "11372",
            "telephone_number": "718-803-3000",
            "fax_number": "775-243-5227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37-42 ST",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "11372",
            "telephone_number": "718-803-3000",
            "fax_number": "775-243-5227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR MIRIAM N CASAL M D P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-18",
        "last_updated": "2017-02-08",
        "status": "A",
        "authorized_official_last_name": "CASAL",
        "authorized_official_first_name": "ALDO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "718-803-3000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Dermatopathology",
            "state": "NY",
            "license": "183943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.