Individual provider Active NPI

Miriam Norma Casal, M.D

  • Dermatopathology Physician
  • Jackson Heights, NY
National Provider Identifier
1720057979
Registry record updated Jun 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology PhysicianTaxonomy code 207ND0900X
License
183943 Issued in NY
Practice address
3742 77TH St
Jackson Heights, NY 11372-6630
Phone
(718) 803-3000
Fax
(775) 243-5227
NPI assigned
Mar 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology Physician 207ND0900X 183943 NY Primary

Addresses

Primary practice location

3742 77TH St
Jackson Heights, NY 11372-6630

Mailing address

37-42 77TH Street
Jackson Heights, NY 11372
Phone (718) 803-3000

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100405000511 NY Practitioner - Dermatology 7012043797 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Miriam N Casal M D P C.Group PAC ID 2264570233, 2 clinicians

Practice addresses (Care Compare)

3742 77TH St
Jackson Heights, NY 11372-6651
Phone (718) 803-3000

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions292
Removal or shaving of skin growth1-10
Skin biopsy135

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
183943NYMDDermatopathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Miriam N Casal M D P C Dermatopathology CurrentSince Jan 1, 2009 Accepting new patients
Mickaela Marichal DNP Nurse Practitioner in Family Health PLLC PastSince Dec 14, 2016 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465948800000",
    "number": "1720057979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37-42 77TH STREET",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "11372",
            "telephone_number": "718-803-3000",
            "fax_number": "775-243-5227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3742 77TH ST",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113726630",
            "telephone_number": "718-803-3000",
            "fax_number": "775-243-5227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASAL",
        "first_name": "MIRIAM",
        "middle_name": "NORMA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-17",
        "last_updated": "2016-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "NY",
            "license": "183943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

Verify at the official NPI Registry.