Mariam Akhtar
Individual provider Active NPI Physician Assistant · Roslyn Heights, NY
NPI 1780306993 · NPPES record last updated May 11, 2026
Key facts
- NPI
- 1780306993
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 032524 (NY)
- Practice address
- 96 Garden St
Roslyn Heights, NY 11577-1010 - Phone
- (516) 359-5592
- NPI assigned
- Sep 14, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230308000660 | DC | Practitioner - Physician Assistant | 8527431832 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 032524 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington Orthopaedics and Sports Medicine, P.a. | Current |
Accepting new patients | |
| Washington Orthopaedics and Sports Medicine, P.a. | Current |
Accepting new patients |
Locations
2021 K St NW
Ste 516
Washington, DC 20006
Phone (301) 657-1996
5550 Friendship Blvd
Ste 360
Chevy Chase, MD 20815
Phone (240) 241-0420
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Physician Assistant | 363A00000X | 032524 | NY | Yes |
Addresses
Primary practice location
96 Garden St
Roslyn Heights, NY 11577-1010
Mailing address
96 Garden St
Roslyn Heights, NY 11577-1010
Other providers in Roslyn Heights, NY
- Advanced Dermatology PC
- Advantage Anesthesiology
- Agape Psychological Services, P.C.
- Jamil Bin Ahmed
- Claire Aiosa-Karpas
- Al Dente Dental of Roslyn, P.C.
- Albert Baravarian, MD PC
- David B. Alexander
- Amanda Bell Alfred
- Miriam Allayev
All providers in Roslyn Heights, NY · Physician Assistant in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 11, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.