Active NPI
Julian A Mierlak, MD, MS
- Obstetrics & Gynecology Physician
- New York, NY
National Provider Identifier
1538126347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 138709
- 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, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01696148 | Medicaid | NY |
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
| Organization | Specialty | Status | New 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 | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Gouverneur Healthcare Services
- Clinic/Center
- New York, NY
- NPI 1548208127
-
dba NYU Internal Medicine Associates - The Miller Practice
- Internal Medicine Physician
- New York, NY
- NPI 1518289552
-
- Gynecology Physician
- New York, NY
- NPI 1710022140
-
- Obstetrics & Gynecology Physician
- Far Rockaway, NY
- NPI 1457499741
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.