Individual provider Active NPI

Mireille Desgranges Seme, M.D.

  • Medical Specialty Clinic/Center
  • East Meadow, NY
National Provider Identifier
1780880898
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
16096 Issued in PR
Practice address
1462 Wilson Rd
East Meadow, NY 11554-4443
Phone
(516) 564-9584
NPI assigned
Jun 25, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 16096 PR Primary

Addresses

Primary practice location

1462 Wilson Rd
East Meadow, NY 11554-4443

Mailing address

1462 Wilson Rd
East Meadow, NY 11554-4443
Phone (516) 564-9584

Other identifiers 1

IdentifierTypeStateIssuer
285989OtherPRI.D. NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
16096PRMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780880898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1462 WILSON RD",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115544443",
            "telephone_number": "516-564-9584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1462 WILSON RD",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115544443",
            "telephone_number": "516-564-9584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESGRANGES SEME",
        "first_name": "MIREILLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "PR",
            "license": "16096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "I.D. NUMBER",
            "identifier": "285989",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Meadow, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.