Individual provider Active NPI

Mariam Zaidi, MD, MBBS

  • Internal Medicine Physician
  • Flushing, NY
National Provider Identifier
1770229825
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
340953 Issued in NY
Practice address
56-45 Main Street, Flushing Ny 11355
Flushing, NY 11355
Phone
(929) 584-0572
NPI assigned
May 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 340953 NY Primary

Addresses

Primary practice location

56-45 Main Street, Flushing Ny 11355
Flushing, NY 11355

Mailing address

56-45 Main St, Queens
Flushing, NY 11355-3813
Phone (718) 670-1507

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
I20251203004111 NY Practitioner - Internal Medicine 6103319595 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
340953NYMDDiabetes Educator Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
New York University Internal Medicine CurrentSince Dec 1, 2025 Accepting new patients
New York University Internal Medicine CurrentSince Dec 1, 2025 Accepting new patients

Locations

5645 Main St
Flushing, NY 11355
Phone (718) 670-1435

295 Community Dr
Great Neck, NY 11021
Phone (516) 504-0800

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": "1652227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765497600000",
    "number": "1770229825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56-45 MAIN ST, QUEENS",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553813",
            "telephone_number": "718-670-1507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56-45 MAIN STREET, FLUSHING NY 11355",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11355",
            "telephone_number": "929-584-0572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAIDI",
        "first_name": "MARIAM",
        "credential": "MD, MBBS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-11",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "340953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.