Organization Active NPI

Mi Medical PLLC

  • Internal Medicine Physician
  • Ronkonkoma, NY
National Provider Identifier
1396925947
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
154360 Issued in NY
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

Updated by the provider on Nov 13, 2007

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.