Mirae Medical Care P.C.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

MIRAE MEDICAL CARE P.C.

Practice address

15011 Northern Blvd FL 1
Flushing, NY 11354-3836

Phone

(718) 460-9640

Fax

(718) 460-1451

NPI assigned

Nov 12, 2024

Last updated

Feb 18, 2025By 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

Samuel Cho, MDNPI 1801839501

Title

President

Phone

(929) 329-9864

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

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.

• Bich N Pham, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Toms River, NJ
  • NPI 1518917178

  NY

  Medicare reassignment NPD
• Samuel Cho, M.D.

  • Gastroenterology Physician
  • Flushing, NY
  • NPI 1801839501
  NPD Authorized official

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

{
    "created_epoch": "1731369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739836800000",
    "number": "1326862723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15011 NORTHERN BLVD FL 1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113543836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15011 NORTHERN BLVD FL 1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113543836",
            "telephone_number": "718-460-9640",
            "fax_number": "718-460-1451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRAE MEDICAL CARE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-12",
        "last_updated": "2025-02-18",
        "certification_date": "2025-01-27",
        "status": "A",
        "authorized_official_last_name": "CHO",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "929-329-9864",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ming Zhu M.D.P.C
• Jessica Mingus, LMSW
• Minsheng Pain Management & Anesthesia, PLLC
• Cheryl S. Miodownik, PSY.D.
• Jennifer Mione, MS, CCC-SLP
• Ryan Benjamin Mirchin, DO
• Tziporah Mirzakandov
• Yair Mirzakandov
• David John Misch, M.D.
• Pamela Sue Miscioscia, MS,OTR/L

• Anatomic Pathology & Clinical Pathology Physician in Flushing, NY
• Providers in Flushing, NY by specialty
• Anatomic Pathology & Clinical Pathology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; 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.