Active NPI
Tintu Mariam, RN CASE MANAGER
- Case Management Agency
- Missouri City, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- License
- 981224
- Practice address
- 5722 Slate Valley CT
Missouri City, TX 77459-5105 - Phone
- (718) 207-1108
- NPI assigned
- Jun 20, 2017
- Last updated
- Feb 9, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | 981224 | TX | Primary |
| Registered Nurse | 163W00000X | 651119-1 | NY | |
| Case Manager/Care Coordinator | 171M00000X | 981224 | TX |
Addresses
Primary practice location
5722 Slate Valley CT
Missouri City, TX 77459-5105
Mailing address
5722 Slate Valley CT
Missouri City, TX 77459-5105
Phone (718) 207-1108
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 651119-1 | NY | MD | Registered Nurse |
| 981224 | TX | MD | Case Management Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical Group P.C. | Current | Accepting new patients | |
| North Shore-Lij Medical PC | Past | Accepting new patients |
Locations
1983 Marcus Ave
Ste C102
New Hyde Park, NY 11042
Phone (516) 872-4100
Organizations & group practices 2
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.
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- NPI 1942666557
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770595200000",
"number": "1568992774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5722 SLATE VALLEY CT",
"city": "MISSOURI CITY",
"state": "TX",
"postal_code": "774595105",
"telephone_number": "718-207-1108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5722 SLATE VALLEY CT",
"city": "MISSOURI CITY",
"state": "TX",
"postal_code": "774595105",
"telephone_number": "718-207-1108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARIAM",
"first_name": "TINTU",
"credential": "RN CASE MANAGER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-20",
"last_updated": "2026-02-09",
"certification_date": "2026-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "TX",
"license": "981224",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "651119-1",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "TX",
"license": "981224",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Missouri City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.