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DANIEL SCOTT MIRKIN OD, NPI 1558363630

Optometrist in ROCKAWAY PARK, NY

Last Updated on : Oct 25,2011

About DANIEL SCOTT MIRKIN (NPI 1558363630)


DANIEL SCOTT MIRKIN is an Optometrist provider in ROCKAWAY PARK, United States. His medical specialization is Optometrist .

1558363630 is NPI number of DANIEL SCOTT MIRKIN.

DANIEL SCOTT MIRKIN's primary taxonomy code based on NPI Lookup is 152W00000X with license number VUT004688. This taxonomy code refers to Optometrist.

DANIEL SCOTT MIRKIN has more than 16 years of experience.

DANIEL SCOTT MIRKIN current practice location address is 253 BEACH 116TH ST, ROCKAWAY PARK, NY. DANIEL SCOTT MIRKIN can be reached out via phone at 718-634-0005 and via fax at 718-474-2003 .

You can also correspond with DANIEL SCOTT MIRKIN through mail at mailing address 253 BEACH 116TH ST, ROCKAWAY PARK, NY, United States. Mailing address contact number is 718-634-0005.

The enumeration date of DANIEL SCOTT MIRKIN is 02-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 11 years ago.

1558363630 NPI Information

Name DANIEL SCOTT MIRKIN
National Provider Id (NPI) 1558363630
Entity Type Individual
Gender M
Credential OD
Practice Address 253 BEACH 116TH ST,
ROCKAWAY PARK, NY, United States
Practice Telephone 718-634-0005
Practice Fax Number 718-474-2003
Mailing Address 253 BEACH 116TH ST ,
ROCKAWAY PARK, NY, United States
Mailing Telephone 718-634-0005
Mailing Fax Number 718-474-2003
Enumeration Date 02-Jun-2005
Last Updated Date 25-Oct-2011

DANIEL SCOTT MIRKIN (NPI 1558363630) Primary Taxonomy Information

Primary Taxonomy Code Clasification License Number License State
Y 152W00000X Optometrist VUT004688 NY

DANIEL SCOTT MIRKIN (NPI 1558363630) Secondary Taxonomy Information

Primary Taxonomy Code Clasification License Number License State
N 152WC0802X Optometrist, Corneal and Contact Management VUT004688 NY
N 152WP0200X Optometrist, Pediatrics VUT004688 NY

Additional Identifiers

Identifier Type/Code Identifier State Identifier Issuer
01126778 MEDICAID (05) NY
0206820001 MEDICARE NSC (07) NY
1558363630 Other (non-Medicare) (01) Group Member NPI
34931 MEDICARE PIN (08)
DM0C408810 Other (non-Medicare) (01) NY Blue Shield
G400012756 Other (non-Medicare) (01) Group Member PTAN
OP90652 Other (non-Medicare) (01) Aetna
P824790 Other (non-Medicare) (01) Oxford
T92613 MEDICARE UPIN (02) NY

DANIEL SCOTT MIRKIN (NPI 1558363630) Office Location

Providers in same location

NPI Name Taxonomy Address Enumeration date
1003052440 MARGARET E MAMMES Registered Nurse 163 BEACH 112TH ST,
ROCKAWAY PARK, NY, United States
06-Jan-2009
1982026100 JENNIFER SMITH Psychologist, Clinical 12904 NEWPORT AVE,
ROCKAWAY PARK, NY, United States
07-Jan-2014
1114566320 HINA NIYAZI Internal Medicine 10216 ROCKAWAY BEACH BLVD APT 2B,
ROCKAWAY PARK, NY, United States
06-Jan-2020
1255729612 NICOLE FRONTERA Nurse Practitioner, Family 173 BEACH 140TH ST,
BELLE HARBOR, NY, United States
07-Jan-2015
1417493941 LAUREN VANCHIERI-HOLLANDER Social Worker 239 BEACH 128TH ST,
ROCKAWAY PARK, NY, United States
08-Jan-2017
1518143031 RITE AID OF NEW YORK INC Durable Medical Equipment & Medical Supplies 10640 ROCKAWAY BEACH BOULEVARD,
ROCKAWAY PARK, NY, United States
15-Jan-2008
1992856751 PROMENADE NURSING HOME, INC Skilled Nursing Facility 140 BEACH 114TH ST,
ROCKAWAY PARK, NY, United States
16-Jan-2007
1215689401 SHERI LYN MUNENO Speech-Language Pathologist, 237 11TH ST APT 2G,
BROOKLYN, NY, United States
19-Jan-2022
1609298033 JENNIFER TURCHI Specialist 177 BEACH 122ND ST,
ROCKAWAY PARK, NY, United States
21-Jan-2014
1013062645 SHIRLEY MARIE HARRIS Social Worker, Clinical 8600 SHOREFRONT PARKWAY, APT 2P
ROCKAWAY PARK, NY, United States
24-Jan-2007
1851663926 PENINSULA MEDICAL CARE PLLC Clinic/Center, Urgent Care 11506 BEACH CHANNEL DR, SUITE 1
ROCKAWAY PARK, NY, United States
03-Feb-2012
1821411059 A & L PHARMACY CORP Pharmacy 11514 BEACH CHANNEL DR,
ROCKAWAY PARK, NY, United States
23-Jan-2014
1972659852 MARIA YVETTE DELGADO Social Worker, Clinical 306 SEASIDE AVE,
ROCKAWAY PARK, NY, United States
25-Jan-2007
1144552159 ALIZA DIAMOND HAAS Psychologist, Clinical 140 BEACH 114TH ST,
ROCKAWAY PARK, NY, United States
02-Feb-2010
1730687682 TARRA A NWEKE Behavior Technician 421 FAYETTEVILLE ST STE 1100,
RALEIGH, NC, United States
25-Jan-2018
1518598036 LIO LARISA USTAYEVA Case Manager/Care Coordinator 11506 ROCKAWAY BEACH BLVD,
ROCKAWAY PARK, NY, United States
03-Feb-2020
1194471482 CARLA NELLY BATISTA Developmental Therapist 80 E END AVE,
NEW YORK, NY, United States
24-Feb-2022
1700417516 JARED WOLF Registered Nurse 155 BEACH 137TH ST,
ROCKAWAY PARK, NY, United States
30-Jan-2020
1295233682 ERIN B MCMAHON Specialist 181 BEACH 118TH ST,
ROCKAWAY PARK, NY, United States
31-Jan-2018
1568900249 SABRINA CHITNARAIN Social Worker 8974 162ND ST STE 5,
JAMAICA, NY, United States
02-Feb-2017

FAQs

Whose NPI Number is 1558363630?

1558363630 is the NPI number of DANIEL SCOTT MIRKIN.

What is the specialty for DANIEL SCOTT MIRKIN?

The Specialty of DANIEL SCOTT MIRKIN is Optometrist.

NPI number meaning

Field Name Field Value
NPI 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Mailing Address The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code.
Provider Business Mailing Address Telephone Number The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider Business Practice Location Address Telephone Number The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number The fax number associated with the location address of the provider being identified.
Provider Enumeration Date The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date The date that a record was last updated or changed.
Authorized Official Telephone Number The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy Taxonomy Description of the Healthcare Provider.
Provider License Number Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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