Active NPI
Mia Talmor, M.D.
- Plastic Surgery Physician
- New York, NY
National Provider Identifier
1780601674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 199082
- Practice address
- 742 Park Ave
New York, NY 10021-4251 - Phone
- (212) 740-2100
- Fax
- (646) 396-5644
- NPI assigned
- Jul 16, 2006
- Last updated
- Jul 7, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 199082 | NY | Primary |
Addresses
Primary practice location
742 Park Ave
New York, NY 10021-4251
Mailing address
1542 Laurel Hollow Rd
Syosset, NY 11791-9635
Phone (516) 659-4307
Other practice location 1
425 E 61st St
8th Floor
New York, NY 10021-8722
Phone (212) 821-0933
Other practice location 2
877 Stewart Ave
Garden City, NY 11530-4803
Phone (516) 659-4307
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 28, 2024 through Oct 28, 2026
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- JS Weill Medical College, Cornell University, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1542 Laurel Hollow Rd
Syosset, NY 11791-9635
PO Box
New York, NY 10087
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 199082 | NY | MD | Plastic Surgery Physician |
Interoperability endpoints
- mtalmor@direct.nyp.org
- mtalmor68076@northwell.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657152000000",
"number": "1780601674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1542 LAUREL HOLLOW RD",
"city": "SYOSSET",
"state": "NY",
"postal_code": "117919635",
"telephone_number": "516-659-4307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "742 PARK AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100214251",
"telephone_number": "212-740-2100",
"fax_number": "646-396-5644"
}
],
"practiceLocations": [
{
"address_1": "425 E 61st St",
"address_2": "8th Floor",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100218722",
"country_code": "US",
"telephone_number": "212-821-0933",
"fax_number": "212-821-0777",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "877 Stewart Ave",
"address_purpose": "LOCATION",
"city": "Garden City",
"state": "NY",
"postal_code": "115304803",
"country_code": "US",
"telephone_number": "516-659-4307",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TALMOR",
"first_name": "MIA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-16",
"last_updated": "2022-07-07",
"certification_date": "2022-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "NY",
"license": "199082",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.