Individual provider Active NPI

Cara Mullen, D.O.

  • Pediatrics Physician
  • Spring Valley, NY
National Provider Identifier
1922409507
Registry record updated Feb 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
286376-1 Issued in NY
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

Updated by the provider on Feb 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
286376-1NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew 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

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.