Individual provider Active NPI

Julian A Mierlak, MD, MS

  • Obstetrics & Gynecology Physician
  • New York, NY
National Provider Identifier
1538126347
Registry record updated Oct 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
138709 Issued in NY
Practice address
550 First Ave
NBV 9E2
New York, NY 10016-1101
Phone
(212) 263-5143
Fax
(212) 263-8887
NPI assigned
Apr 26, 2006
Last updated
Oct 18, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 138709 NY Primary

Addresses

Primary practice location

550 First Ave
NBV 9E2
New York, NY 10016-1101

Mailing address

550 First Ave
NBV 9E2
New York, NY 10016-1101
Phone (212) 263-5143

Other identifiers 1

IdentifierTypeStateIssuer
01696148MedicaidNY

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, Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
South Beach OB GYN Obstetrics & Gynecology Past Accepting new patients
New York University Past Accepting new patients
New York City Health and Hospitals Corporation Past Accepting new patients
Ny Pelvic Pain and Minimally Invasive Gynecologic Surgery PC PastSince Jan 9, 2018 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287360000000",
    "number": "1538126347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 FIRST AVE",
            "address_2": "NBV 9E2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100161101",
            "telephone_number": "212-263-5143",
            "fax_number": "212-263-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 FIRST AVE",
            "address_2": "NBV 9E2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100161101",
            "telephone_number": "212-263-5143",
            "fax_number": "212-263-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIERLAK",
        "first_name": "JULIAN",
        "middle_name": "A",
        "credential": "MD, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2010-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "138709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01696148",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; 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.