Active NPI
Cara Mullen, D.O.
- Pediatrics Physician
- Spring Valley, NY
National Provider Identifier
1922409507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 286376-1
- Practice address
- 19 Spring Valley Marketplace
Spring Valley, NY 10977-5210 - Phone
- (845) 371-5437
- NPI assigned
- Sep 15, 2014
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 286376-1 | NY | Primary |
Addresses
Primary practice location
19 Spring Valley Marketplace
Spring Valley, NY 10977-5210
Mailing address
15 Bank St
Apt 112K
White Plains, NY 10606-1917
Phone (845) 234-5510
Other names 1
- Cara Miller
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 286376-1 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PM Pediatrics of Bayside, PLLC | Past | Accepting new patients | |
| PM Pediatrics of Mamaroneck | Past | Accepting new patients | |
| PM Pediatrics of Bayside PLLC | Past | Accepting new patients | |
| PM Pediatrics PC | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- cara.mullen@pmuc.eclinicaldirectplus.com
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.
-
- Urgent Care Clinic/Center
- Nanuet, NY
- NPI 1861823197
-
- Specialist
- Bayside, NY
- NPI 1861700353
-
- Urgent Care Clinic/Center
- Mamaroneck, NY
- NPI 1073645180
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486598400000",
"number": "1922409507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 BANK ST",
"address_2": "APT 112K",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106061917",
"telephone_number": "845-234-5510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 SPRING VALLEY MARKETPLACE",
"city": "SPRING VALLEY",
"state": "NY",
"postal_code": "109775210",
"telephone_number": "845-371-5437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLEN",
"first_name": "CARA",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-15",
"last_updated": "2017-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "286376-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CARA",
"last_name": "MILLER",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Spring Valley, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.