Mid Atlantic Medical P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

219013-1 Issued in NY

Legal business name

MID ATLANTIC MEDICAL P.C.

Practice address

436 Fort Washington Ave
Suite 1H
New York, NY 10033-3507

Phone

(212) 781-4720

Fax

(212) 923-9585

NPI assigned

Feb 7, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Luba Karlin, M.D.NPI 1104872803

Title

President

Phone

(212) 781-4720

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

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

• Luba Karlin, MD

  • Physical Medicine & Rehabilitation Physician
  • New York, NY
  • NPI 1104872803
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1233964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233964800000",
    "number": "1376782862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 FORT WASHINGTON AVE",
            "address_2": "SUITE 1H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100333507",
            "telephone_number": "212-781-4720",
            "fax_number": "212-923-9585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 FORT WASHINGTON AVE",
            "address_2": "SUITE 1H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100333507",
            "telephone_number": "212-781-4720",
            "fax_number": "212-923-9585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID ATLANTIC MEDICAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-07",
        "last_updated": "2009-02-07",
        "status": "A",
        "authorized_official_last_name": "KARLIN",
        "authorized_official_first_name": "LUBA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-781-4720",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "219013-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Keeler Mickinac, MD
• Molly Ann Mickle, FNP
• Carl Terence Mickman, MD
• Jenika Miclat, RN
• Mark Luis Miclat, PT, DPT
• Mid City TMS Psychiatric PLLC
• Mid-Atlantic Medical Services,PC
• Mid-Manhattan Medical, P.C.
• Mid-Manhattan Oral Surgery PC
• Mid-Manhattan Physician Services,P.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2009; 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.