Individual provider Active NPI

Michal Sianov, PA

  • Internal Medicine Physician
  • Floral Park, NY
National Provider Identifier
1780465757
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
030500-01 Issued in NY
Practice address
35 N Tyson Ave. Suite 100
Floral Park, NY 11001
Phone
(718) 276-7935
NPI assigned
Oct 6, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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 030500-01 NY Primary

Addresses

Primary practice location

35 N Tyson Ave. Suite 100
Floral Park, NY 11001

Mailing address

35 N Tyson Ave Ste 100
Floral Park, NY 11001-1469
Phone (718) 276-7935

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240501002493 NY Practitioner - Physician Assistant 6608216122 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
030500NYMDClinical Social Worker
030500-01NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Expert Mobile Health CurrentSince Oct 8, 2023 Accepting new patients
Expert Medical Services LLC CurrentSince Oct 8, 2023 Accepting new patients
Peyman Younesi MD PLLC Internal Medicine Past Accepting new patients

Locations

35 N Tyson Ave
Ste 100
Floral Park, NY 11001
Phone (718) 276-7935

Organizations & group practices 4

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": "1696550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1780465757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 N TYSON AVE STE 100",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110011469",
            "telephone_number": "718-276-7935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 N TYSON AVE. SUITE 100",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "11001",
            "telephone_number": "718-276-7935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIANOV",
        "first_name": "MICHAL",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-06",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "030500-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Floral Park, NY

Sources for this page

Verify at the official NPI Registry.