Active NPI
Mira Lena Bhattacharya, PA
- Physician Assistant
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 033666
- Practice address
- 569 Senator St
Brooklyn, NY 11220-5411 - Phone
- (646) 330-7123
- NPI assigned
- Aug 30, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 033666 | NY | Primary |
| Physician Assistant | 363A00000X |
Addresses
Primary practice location
569 Senator St
Brooklyn, NY 11220-5411
Mailing address
569 Senator St
Brooklyn, NY 11220-5411
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1295 Broadway
Brooklyn, NY 11221-2973
Phone (718) 682-3903
2830 Pitkin Ave
Brooklyn, NY 11208-3220
Phone (718) 235-0900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 033666 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ag Urgent Care, P.C. | Multi-Specialty | Current | Accepting new patients |
| Py Medical PLLC | Multi-Specialty | Current | Accepting new patients |
| Kings Medical Family Practice PC | Multi-Specialty | Current | Accepting new patients |
Locations
1295 Broadway
Brooklyn, NY 11221
Phone (718) 682-3903
1576 Flatbush Ave
Ste 1
Brooklyn, NY 11210
2830 Pitkin Ave
Brooklyn, NY 11208
Phone (347) 420-8295
8008 45th Ave
Flushing, NY 11373
Phone (718) 373-0777
130 Lake Ave S
Nesconset, NY 11767
Phone (631) 636-0620
822 Cedar Ave
Niagara Falls, NY 14301
Phone (716) 272-1207
140 Meisner Ave
Staten Island, NY 10306
Phone (718) 979-1800
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
Interoperability endpoints
- mbhattacharya7547289@nychhc.direct-ci.com
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.
-
- Family Medicine Physician
- Brooklyn, NY
- NPI 1316461387
Multi-Specialty
-
- Family Medicine Physician
- Valley Cottage, NY
- NPI 1518637891
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743897600000",
"number": "1487488458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "569 SENATOR ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112205411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "569 SENATOR ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112205411",
"telephone_number": "646-330-7123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BHATTACHARYA",
"first_name": "MIRA",
"middle_name": "LENA",
"name_prefix": "Miss",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-30",
"last_updated": "2025-04-06",
"certification_date": "2025-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "NY",
"license": "033666",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.