Individual provider Active NPI

Liana Mirila, M.D.

  • Internal Medicine Physician
  • Rego Park, NY
National Provider Identifier
1699925958
Registry record updated Sep 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
183460 Issued in NY
Practice address
6260 99TH St
Apt #27
Rego Park, NY 11374-1842
Phone
(718) 459-3623
NPI assigned
Sep 23, 2008
Last updated
Sep 23, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 183460 NY Primary

Addresses

Primary practice location

6260 99TH St
Apt #27
Rego Park, NY 11374-1842

Mailing address

6260 99TH St
Apt #27
Rego Park, NY 11374-1842
Phone (718) 459-3623

Other identifiers 1

IdentifierTypeStateIssuer
01199980MedicaidNY

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
183460NYMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222128000000",
    "number": "1699925958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6260 99TH ST",
            "address_2": "APT #27",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741842",
            "telephone_number": "718-459-3623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6260 99TH ST",
            "address_2": "APT #27",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741842",
            "telephone_number": "718-459-3623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRILA",
        "first_name": "LIANA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-23",
        "last_updated": "2008-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "183460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01199980",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.