Organization Active NPI

Tansar Mir M.D.,P.C.

  • Plastic Surgery Physician
  • New Hyde Park, NY
National Provider Identifier
1649568601
Registry record updated Jul 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
60238911 Issued in NY
Legal business name
TANSAR MIR M.D.,P.C.
Practice address
444 Lakeville Rd
Suite 303
New Hyde Park, NY 11042-1165
Phone
(516) 354-1330
Fax
(516) 775-5953
NPI assigned
Jul 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2011

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

Authorized official

Name
Tansar Mir, M.D.NPI 1265632269
Title
Physician
Phone
(516) 354-1330

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X 60238911 NY Primary

Addresses

Primary practice location

444 Lakeville Rd
Suite 303
New Hyde Park, NY 11042-1165

Mailing address

444 Lakeville Rd
Suite 303
New Hyde Park, NY 11042-1165
Phone (516) 354-1330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110713000681 NY Part B Supplier - Clinic/Group Practice 0749458933 Receives reassigned benefits from 1 practitioner
Practice locations: Great Neck, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1310428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310428800000",
    "number": "1649568601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 LAKEVILLE RD",
            "address_2": "SUITE 303",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421165",
            "telephone_number": "516-354-1330",
            "fax_number": "516-775-5953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 LAKEVILLE RD",
            "address_2": "SUITE 303",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421165",
            "telephone_number": "516-354-1330",
            "fax_number": "516-775-5953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANSAR MIR M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-12",
        "last_updated": "2011-07-12",
        "status": "A",
        "authorized_official_last_name": "MIR",
        "authorized_official_first_name": "TANSAR",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "516-354-1330",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "60238911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.