Mariam M Mounir Jr.

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

11655 Queens Blvd Ste 216
Forest Hills, NY 11375-6527

Phone

(212) 804-7659

Fax

(888) 975-7704

NPI assigned

Apr 8, 2026

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

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

{
    "created_epoch": "1775606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1366384307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11655 QUEENS BLVD STE 216",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113756527",
            "telephone_number": "212-804-7659",
            "fax_number": "888-975-7704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11655 QUEENS BLVD STE 216",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113756527",
            "telephone_number": "212-804-7659",
            "fax_number": "888-975-7704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUNIR",
        "first_name": "MARIAM",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-04-08",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Student in an Organized Health Care Education/Training Program in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Student in an Organized Health Care Education/Training Program in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; 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.