Individual provider Active NPI

Anne Marie Mirski, MD

  • Internal Medicine Physician
  • Ronkonkoma, NY
National Provider Identifier
1508964198
Registry record updated Nov 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
155157 Issued in NY
Practice address
3279 Veterans Memorial Highway
Suite 5 Mid Island Medical Center
Ronkonkoma, NY 11779
Phone
(631) 737-4949
Fax
(631) 471-3599
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 155157 NY Primary

Addresses

Primary practice location

3279 Veterans Memorial Highway
Suite 5 Mid Island Medical Center
Ronkonkoma, NY 11779

Mailing address

35 Barnsley Crescent
Mt Sinai, NY 11766
Phone (516) 680-4097

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rakesh Sharma Physician PC Internal Medicine Past Accepting new patients
Mi Medical PLLC Internal Medicine PastSince Oct 23, 2007 Accepting new patients
Sunrise Family Medical, PC PastSince Apr 1, 2005 Accepting new patients
CHS Physician Partners, P.C Past Accepting new patients

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195430400000",
    "number": "1508964198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 BARNSLEY CRESCENT",
            "city": "MT SINAI",
            "state": "NY",
            "postal_code": "11766",
            "telephone_number": "516-680-4097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3279 VETERANS MEMORIAL HIGHWAY",
            "address_2": "SUITE 5 MID ISLAND MEDICAL CENTER",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "11779",
            "telephone_number": "631-737-4949",
            "fax_number": "631-471-3599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRSKI",
        "first_name": "ANNE",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "155157",
            "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 19, 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.