Mitchell S. Meyerson, MD, PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

183449 Issued in NY

Legal business name

MITCHELL S. MEYERSON, MD, PC

Practice address

1015 Roanoke Ave
Riverhead, NY 11901-2735

Phone

(631) 369-3474

Fax

(631) 369-6265

NPI assigned

Oct 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mitchell Scott Meyerson, MDNPI 1205813268

Title

Physician/President

Phone

(631) 369-3474

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Mitchell Meyerson, MD

  • Specialist
  • Riverhead, NY
  • NPI 1205813268
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192147200000",
    "number": "1689862880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 ROANOKE AVE",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012735",
            "telephone_number": "631-369-3474",
            "fax_number": "631-369-6265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 ROANOKE AVE",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012735",
            "telephone_number": "631-369-3474",
            "fax_number": "631-369-6265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL S. MEYERSON, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-12",
        "last_updated": "2007-10-12",
        "status": "A",
        "authorized_official_last_name": "MEYERSON",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PHYSICIAN/PRESIDENT",
        "authorized_official_telephone_number": "631-369-3474",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "183449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Mills Jr.
• Elijah SE Hong Min, M.D.
• Katie Mingione, PA-C
• Caitlin Marie Miranda, PH.D.
• Farhaj Mirza, D.M.D.
• Lynn D Mitchell, NP
• Gabrielle Mizrahi, PHYSICIAN ASSISTANT
• MJD Optical Corp
• Philip Modayil, M.D
• Eloise L Mogel, RDH

• Specialist in Riverhead, NY
• Providers in Riverhead, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.