MIRAE MEDICAL CARE P.C.
NPI 1326862723
Pathology - Anatomic Pathology & Clinical Pathology in Flushing, NY

Active since November 12, 2024
15011 NORTHERN BLVD FL 1, FLUSHING, NY 11354(718) 460-9640(718) 460-1451 Get Directions Write a Review

NPPES record last updated: February 18, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 18, 2025, Nov 12, 2024 (2 updates tracked since 2024).

About Mirae Medical Care P.c. NPPES

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

MIRAE MEDICAL CARE P.C. (NPI 1326862723) is a healthcare organization registered as an anatomic pathology & clinical pathology in Flushing, New York and active in the NPI registry since November 2024. The organization lists Samuel Cho, President, as its authorized official.

NPPES Registry Identity

NPI1326862723
Entity TypeOrganization
Primary Taxonomy207ZP0102X
Legal Business NameMIRAE MEDICAL CARE P.C.
Location Address15011 NORTHERN BLVD FL 1Flushing, NY 11354-3836
Mailing Address15011 Northern Blvd Fl 1Flushing, NY 11354-3836
Fax(718) 460-1451
Organization SubpartNo
Authorized OfficialSamuel ChoPresident · (929) 329-9864
Enumeration DateNovember 12, 2024
Last NPPES UpdateFebruary 18, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2025
✔ NPI 1326862723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
15011 NORTHERN BLVD FL 1, Flushing, NY 11354

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mirae Medical Care P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mirae Medical Care P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Pathology
NPI 1518917178
99 HIGHWAY 37
Toms River, NJ 08755
(732) 240-8000
✔ PECOS✔ Accepts Medicare59 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Mirae Medical Care P.C.'s NPI number?

The NPI number for Mirae Medical Care P.C. is 1326862723. It was assigned to this organization in the NPPES registry on November 12, 2024.

Where is Mirae Medical Care P.C. located?

Mirae Medical Care P.C. is located at 15011 Northern Blvd Fl 1, Flushing, NY 11354. The listed phone number is (718) 460-9640.

What is Mirae Medical Care P.C.'s specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Mirae Medical Care P.C. enrolled in Medicare?

Yes. Mirae Medical Care P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mirae Medical Care P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Pathology) reassigns their Medicare billing to Mirae Medical Care P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mirae Medical Care P.C. was last updated on February 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.