Mergie Desir, M.D., P.L.L.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

219313 Issued in NY

Legal business name

MERGIE DESIR, M.D., P.L.L.C.

Practice address

7580 184TH St
Fresh Meadows, NY 11366-1715

Phone

(718) 805-1215

Fax

(718) 805-1218

NPI assigned

Oct 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mergie Desir, M.D.NPI 1053360743

Title

Physician

Phone

(718) 805-1215

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

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

• Mergie Desir, M.D. , M. P. H.

  • Family Medicine Physician
  • Fresh Meadows, NY
  • NPI 1053360743
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624233600000",
    "number": "1346437563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7580 184TH ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661715",
            "telephone_number": "718-805-1215",
            "fax_number": "718-805-1218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7580 184TH ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661715",
            "telephone_number": "718-805-1215",
            "fax_number": "718-805-1218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERGIE DESIR, M.D., P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A",
        "authorized_official_last_name": "DESIR",
        "authorized_official_first_name": "MERGIE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "718-805-1215",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "219313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Fresh Meadows, NY
• Providers in Fresh Meadows, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; 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.