Miranda Mohabir, M.D.

Primary specialty

Behavioral Neurology & Neuropsychiatry PhysicianTaxonomy code 2084B0040X

License

230129 Issued in NY

Practice address

8295 Cazenovia Rd
Manlius, NY 13104-8744

Phone

(315) 682-0213

Fax

(315) 682-4411

NPI assigned

Oct 4, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1497841183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8295 CAZENOVIA RD",
            "city": "MANLIUS",
            "state": "NY",
            "postal_code": "131048744",
            "telephone_number": "315-682-0213",
            "fax_number": "315-682-4411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8295 CAZENOVIA RD",
            "city": "MANLIUS",
            "state": "NY",
            "postal_code": "131048744",
            "telephone_number": "315-682-0213",
            "fax_number": "315-682-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHABIR",
        "first_name": "MIRANDA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084B0040X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": "NY",
            "license": "230129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael P McGee, PT
• Nancy C McGovern, RN
• Anna Khatsko Mehta, PHARMD
• Nicole Miller, L.M.T.
• Miranda Mohabir MD PC
• Gregory W Mohr, DDS
• Miranda Montgomery, HIS
• Gisella Mortelliti, DDS
• Beanca Sada Moss, LPN
• Move With Me, LLC

• Behavioral Neurology & Neuropsychiatry Physician in Manlius, NY
• Providers in Manlius, NY by specialty
• Behavioral Neurology & Neuropsychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.