Active NPI
Mary Kim Mehlman, MD
- Pediatrics Physician
- Hempstead, NY
National Provider Identifier
1689833261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 247930
- Practice address
- 175 Fulton Ave
Suite 100
Hempstead, NY 11550-3718 - Phone
- (516) 292-1034
- Fax
- (516) 292-0565
- NPI assigned
- Jun 9, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 247930 | NY | Primary |
Addresses
Primary practice location
175 Fulton Ave
Suite 100
Hempstead, NY 11550-3718
Mailing address
222 Station PLZ N
Suite 611
Mineola, NY 11501-3800
Phone (516) 663-2532
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York University | Pediatrics | Current | Accepting new patients |
| New York University | Current | Accepting new patients |
Locations
175 Fulton Ave
Ste 100
Hempstead, NY 11550
Phone (516) 292-1034
340 W Park Ave
Long Beach, NY 11561
Phone (516) 431-5064
222 Station Plz N
Ste 611
Mineola, NY 11501
Phone (516) 663-2532
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 and National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Boynton Beach, FL
- NPI 1285826438
NY, Pediatrics
-
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318377600000",
"number": "1689833261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 STATION PLZ N",
"address_2": "SUITE 611",
"city": "MINEOLA",
"state": "NY",
"postal_code": "115013800",
"telephone_number": "516-663-2532",
"fax_number": "516-663-2233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 FULTON AVE",
"address_2": "SUITE 100",
"city": "HEMPSTEAD",
"state": "NY",
"postal_code": "115503718",
"telephone_number": "516-292-1034",
"fax_number": "516-292-0565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEHLMAN",
"first_name": "MARY",
"middle_name": "KIM",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-09",
"last_updated": "2011-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "247930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hempstead, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 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; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.