Individual provider Active NPI

Mariam Wanees

  • Obstetrics & Gynecology Physician
  • Astoria, NY
National Provider Identifier
1780267682
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
334385 Issued in NY
Practice address
2325 31St St Ste 301
Astoria, NY 11105-2298
Phone
(929) 457-7680
NPI assigned
Apr 29, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 334385 NY Primary

Addresses

Primary practice location

2325 31St St Ste 301
Astoria, NY 11105-2298

Mailing address

6804 Utopia Pkwy
Fresh Meadows, NY 11365-3433
Phone (917) 569-7372

Other practice location 1

100 E 77th St
New York, NY 10075-1850
Phone (212) 434-2000

Other practice location 2

225 E 64th St Lowr Level
New York, NY 10065-6692
Phone (646) 905-3900

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
I20251002000511 NY Practitioner - Obstetrics/Gynecology 7315443975 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

100 E 77TH St
New York, NY 10075-1850
Phone (212) 434-2140

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
334385NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore - Lij Medical PC CurrentSince Dec 30, 2025 Accepting new patients
North Shore-Lij Medical PC Single Specialty CurrentSince Dec 30, 2025 Accepting new patients

Locations

2325 31st St
Ste 301
Astoria, NY 11105
Phone (929) 457-7650

224 50th Ave
Long Island City, NY 11101
Phone (516) 472-5714

259 1st St
Lowr
Mineola, NY 11501
Phone (516) 663-8443

225 E 64th St
Lowr B
New York, NY 10065
Phone (646) 905-3900

100 E 77th St
New York, NY 10075
Phone (212) 434-2606

225 E 64th St
Lowr
New York, NY 10065
Phone (646) 905-3900

300 Community Dr
Plandome, NY 11030

Interoperability endpoints

  • Direct secure messaging: mwanees457018@nyumc.direct-ci.com
  • Direct secure messaging: mwanees317342@northwell.direct-ci.com

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": "1619654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1780267682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6804 UTOPIA PKWY",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113653433",
            "telephone_number": "917-569-7372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 31ST ST STE 301",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111052298",
            "telephone_number": "929-457-7680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 E 77th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100751850",
            "country_code": "US",
            "telephone_number": "212-434-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "225 E 64th St Lowr Level",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100656692",
            "country_code": "US",
            "telephone_number": "646-905-3900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANEES",
        "first_name": "MARIAM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-29",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "334385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

Verify at the official NPI Registry.