MIMI G BANSAL, MD
NPI 1003978669
Dermatology - Procedural Dermatology in Lake Success, NY

Q: What is Mimi G Bansal, MD's NPI number?

The NPI number for Mimi G Bansal, MD is 1003978669. It was assigned to this organization in the NPPES registry on December 13, 2006.

Q: What is Mimi G Bansal, MD's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Procedural Dermatology, with taxonomy code 207NS0135X.

Q: When was this NPI record last updated?

The NPPES record for Mimi G Bansal, MD was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 13, 2006

2001 MARCUS AVE, SUITE N218, LAKE SUCCESS, NY 11042(516) 352-2700(516) 437-6904 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Mimi G Bansal, Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIMI G BANSAL, MD (NPI 1003978669) is a healthcare organization registered as a procedural dermatology in Lake Success, New York and active in the NPI registry since December 2006. The organization lists Mimi G Bansal, Owner, as its authorized official.

NPPES Registry Identity

NPI1003978669

Entity TypeOrganization

Primary Taxonomy207NS0135X

Legal Business NameMIMI G BANSAL, MD

Location Address2001 MARCUS AVE, SUITE N218Lake Success, NY 11042

Mailing Address2 Polo DrOld Westbury, NY 11568-1043 · (516) 352-2700 · Fax (516) 437-6904

Phone(516) 352-2700

Fax(516) 437-6904

Organization SubpartNo

Authorized OfficialMimi G BansalOwner · (516) 352-2700

Enumeration DateDecember 13, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1003978669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · Procedural DermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207NS0135X

License✔ Licensed in NY · 2122661

Definition

Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).

2001 MARCUS AVE, Lake Success, NY 11042

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAUL S. BERG MD

Internal Medicine (Gastroenterology)

2001 MARCUS AVE, SUITE N204
NEW HYDE PARK, NY 11042

Nassau County (516) 684-9229

DR. LESLIE R. KOLKER O.D.

Optometrist

2001 MARCUS AVE, SUITE 286 WEST
NEW HYDE PARK, NY 11042

Nassau County (516) 328-1800

ECLIPSE ANESTHESIA ASSOCIATES PLLC

Anesthesiology

2001 MARCUS AVE, STE N18
NEW HYDE PARK, NY 11042

Nassau County (516) 775-7770

DR. MADHU SOMABHAI PATEL M.D.

Internal Medicine

2001 MARCUS AVE
NEW HYDE PARK, NY 11042

Nassau County (516) 354-8686

DR. OMID RAHMANI MD

Surgery (Vascular Surgery)

2001 MARCUS AVE, SUITE S50
NEW HYDE PARK, NY 11042

Nassau County (516) 328-9800

DEBORAH JEAN WARING LAC.

Acupuncturist

2001 MARCUS AVE
NEW HYDE PARK, NY 11042

Nassau County (516) 775-3717

MR. SEBASTIAN LATTUGA MD FACOS

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)

2001 MARCUS AVE, STE 170 W NEW YORK SPECIALISTS LLP
LAKE SUCCESS, NY 11042

Nassau County (516) 355-0111

ADINA SIMONE GREEN DMD

Dentist

2001 MARCUS AVE, STE 168 S
LAKE SUCCESS, NY 11042

Nassau County (516) 775-2004

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mimi G Bansal, MD's NPI number?

The NPI number for Mimi G Bansal, MD is 1003978669. It was assigned to this organization in the NPPES registry on December 13, 2006.

Where is Mimi G Bansal, MD located?

Mimi G Bansal, MD is located at 2001 Marcus Ave Suite N218, Lake Success, NY 11042. The listed phone number is (516) 352-2700.

What is Mimi G Bansal, MD's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Procedural Dermatology, with taxonomy code 207NS0135X.

When was this NPI record last updated?

The NPPES record for Mimi G Bansal, MD was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.