Active NPI
Miriam Pineles, L.AC.
- General Practice Physician
- New York, NY
National Provider Identifier
1578897492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 004182
- Practice address
- 105 W 55TH St
Suite LF
New York, NY 10019-5303 - Phone
- (516) 317-2539
- NPI assigned
- Sep 24, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 004182 | NY | Primary |
Addresses
Primary practice location
105 W 55TH St
Suite LF
New York, NY 10019-5303
Mailing address
13828 68TH Dr
Apt. 1D
Flushing, NY 11367-1669
Phone (516) 317-2539
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004182 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263945600000",
"number": "1578897492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13828 68TH DR",
"address_2": "APT. 1D",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113671669",
"telephone_number": "516-317-2539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 W 55TH ST",
"address_2": "SUITE LF",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100195303",
"telephone_number": "516-317-2539"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINELES",
"first_name": "MIRIAM",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-24",
"last_updated": "2010-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NY",
"license": "004182",
"primary": true
}
],
"identifiers": [],
"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 Jan 20, 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.