Active NPI
Mi Medical PLLC
- Internal Medicine Physician
- Ronkonkoma, NY
National Provider Identifier
1396925947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 154360
- Legal business name
- MI MEDICAL PLLC
- Practice address
- 3279 Veterans Memorial Hwy Ste 5
Ronkonkoma, NY 11779-7673 - Phone
- (631) 737-4949
- NPI assigned
- Nov 13, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Myles Ivan Rosenthal, M.D.
- Title
- Owner
- Phone
- (631) 737-4949
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 154360 | NY | Primary |
Addresses
Primary practice location
3279 Veterans Memorial Hwy Ste 5
Ronkonkoma, NY 11779-7673
Mailing address
3279 Veterans Memorial Hwy Ste 5
Ronkonkoma, NY 11779-7673
Phone (631) 737-4949
National Provider Directory
National Provider DirectoryLocations
3279 Veterans Memorial Hwy
Ste 5
Ronkonkoma, NY 11779
Phone (631) 737-4949
154 Terry Rd
Ste 2
Smithtown, NY 11787
Phone (631) 737-4949
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Ronkonkoma, NY
- NPI 1508964198
-
- Hospitalist Physician
- Bay Shore, NY
- NPI 1578726840
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194912000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1194912000000",
"number": "1396925947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3279 VETERANS MEMORIAL HWY STE 5",
"city": "RONKONKOMA",
"state": "NY",
"postal_code": "117797673",
"telephone_number": "631-737-4949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3279 VETERANS MEMORIAL HWY STE 5",
"city": "RONKONKOMA",
"state": "NY",
"postal_code": "117797673",
"telephone_number": "631-737-4949"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MI MEDICAL PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-13",
"last_updated": "2007-11-13",
"status": "A",
"authorized_official_last_name": "ROSENTHAL",
"authorized_official_first_name": "MYLES",
"authorized_official_middle_name": "IVAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "631-737-4949",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NY",
"license": "154360",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ronkonkoma, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.