Individual provider Active NPI

Mia Svensson, M.D.

  • Pediatrics Physician
  • New York, NY
National Provider Identifier
1467474338
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
232219 Issued in NY
Practice address
12 W 72ND St
New York, NY 10023-4163
Phone
(646) 962-7800
Fax
(646) 962-0417
NPI assigned
Jul 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 232219 NY Primary

Addresses

Primary practice location

12 W 72ND St
New York, NY 10023-4163

Mailing address

575 Lexington Ave
Suite 500
New York, NY 10022-6102
Phone (212) 590-5152

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061002000595 NY Practitioner - Internal Medicine 4587669262 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
232219NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Weill Medical College of Cornell Internal Medicine Current Accepting new patients
Weill Medical College of Cornell CurrentSince Feb 14, 2017 Accepting new patients
Weill Medical College of Cornell Internal Medicine CurrentSince Feb 14, 2017 Accepting new patients
Cornell University Medical College Past Accepting new patients

Locations

575 Lexington Ave
Ste 500
New York, NY 10022
Phone (212) 590-5151

2315 Broadway
Fl 3
New York, NY 10024
Phone (646) 962-2842

12 W 72nd St
New York, NY 10023
Phone (212) 746-7800

Interoperability endpoints

  • Direct secure messaging: mis9024@direct.nyp.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1467474338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 LEXINGTON AVE",
            "address_2": "SUITE 500",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100226102",
            "telephone_number": "212-590-5152",
            "fax_number": "212-590-5798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 W 72ND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100234163",
            "telephone_number": "646-962-7800",
            "fax_number": "646-962-0417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SVENSSON",
        "first_name": "MIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-23",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "232219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.