Individual provider Active NPI

Mia Talmor, M.D.

  • Plastic Surgery Physician
  • New York, NY
National Provider Identifier
1780601674
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
199082 Issued in NY
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 SurgeryAlso: General 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

LicenseStateTypeSpecialty
199082NYMDPlastic Surgery Physician

Interoperability endpoints

  • Direct secure messaging: mtalmor@direct.nyp.org
  • Direct secure messaging: 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

Verify at the official NPI Registry.