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NICOLE AUTUMN MIRJAFARI MD
NPI 1144325622
Pediatrics in Liverpool, NY

Active since September 13, 2006
5100 W TAFT RD STE 1B, LIVERPOOL, NY 13088(239) 343-9888(239) 303-0714 Get Directions Write a Review

NPPES record last updated: January 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 30, 2023, Mar 30, 2021, Oct 5, 2020 and 2 more (5 updates tracked since 2015).

About Nicole Autumn Mirjafari Md NPPES

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

NICOLE AUTUMN MIRJAFARI MD (NPI 1144325622) is an individual pediatrics provider in Liverpool, New York, licensed in Florida (ME138382) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1144325622
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameNICOLE AUTUMN MIRJAFARICredential: MD
Location Address5100 W TAFT RD STE 1BLiverpool, NY 13088-3808
Mailing Address5100 W Taft Rd Ste 1bLiverpool, NY 13088-3808 · (918) 406-2024
Phone(239) 343-9888
Fax(239) 303-0714
Sole ProprietorYes
Enumeration DateSeptember 13, 2006
Last NPPES UpdateJanuary 25, 20245 updates tracked since enumeration
NPPES CertifiedJanuary 25, 2024
✔ NPI 1144325622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in FL · ME138382✔ Licensed in NY · 324770✔ Licensed in TX · Q0568✔ Licensed in OK · 24093
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
5100 W TAFT RD STE 1B, Liverpool, NY 13088
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Other Names 1

Former Name (1)Nicole Autumn Smith Md

Other Identifiers 3

Medicaid104889000FL
Medicaid100768880FOK
Medicaid100768880IOK

Other Providers at the Same Location NPPES

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

NEW YORK ANESTHESIOLOGY MEDICAL SPECIALTIES, PC
Pain Medicine (Pain Medicine)
5100 W TAFT RD STE 1B
LIVERPOOL, NY 13088
Onondaga County (315) 552-6739

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 Nicole Mirjafari's NPI number?

The NPI number for Nicole Mirjafari is 1144325622. It was assigned to this individual provider in the NPPES registry on September 13, 2006. The provider is also known as Nicole Autumn Smith MD.

Where is Nicole Mirjafari located?

Nicole Mirjafari practices at 5100 W Taft Rd Ste 1B, Liverpool, NY 13088. The listed phone number is (239) 343-9888.

What is Nicole Mirjafari's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Nicole Mirjafari was last updated on January 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.