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MINA MICHAEL ELMIRY MD
NPI 1376247007
Student in an Organized Health Care Education/Training Program in Montclair, NJ

Active since March 28, 2023PECOS Enrolled
1 BAY AVE, MONTCLAIR, NJ 07042(862) 333-4700 Get Directions Write a Review

NPPES record last updated: March 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mina Michael Elmiry Md NPPES

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

MINA MICHAEL ELMIRY MD (NPI 1376247007) is an individual student in an organized health care education/training program in Montclair, New Jersey and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376247007
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMINA MICHAEL ELMIRYCredential: MD
Location Address1 BAY AVEMontclair, NJ 07042-4837
Mailing Address1 Bay AveMontclair, NJ 07042-4837
Phone(862) 333-4700
Sole ProprietorNo
Enumeration DateMarch 28, 2023
NPPES CertifiedMarch 28, 2023
✔ NPI 1376247007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1 BAY AVE, Montclair, NJ 07042
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mina Michael Elmiry Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

SAMRAH GHANI MD
Student in an Organized Health Care Education/Training Program
1 BAY AVE
MONTCLAIR, NJ 07042
Essex County (862) 333-4700
JACLYN TAYLOR SCHMITZ
Student in an Organized Health Care Education/Training Program
1 BAY AVE
MONTCLAIR, NJ 07042
Essex County (973) 429-6888
MYINT KYI M.D.
Anesthesiology
1 BAY AVE
MONTCLAIR, NJ 07042
Essex County (973) 429-6219
EDWARD PETRARCA LCSW
Social Worker (Clinical)
1 BAY AVE, MOUNTAINSIDE HOSPITAL
MONTCLAIR, NJ 07042
Essex County (973) 429-6813
ANN FRANCES VALLONE NURSE PRACTITIONER
Nurse Practitioner (Adult Health)
1 BAY AVE
MONTCLAIR, NJ 07042
Essex County (973) 429-6272
ANN SAMIR YASIN IBRAHIM
Student in an Organized Health Care Education/Training Program
1 BAY AVE
MONTCLAIR, NJ 07042
Essex County (862) 333-4700
GEORGE JAMES ZACH
Dentist
1 BAY AVE
MONTCLAIR, NJ 07042
Essex County (973) 429-6888
MRS. ESTHER D. BAXAM-SPENCE RN, MSN, CNNP
Nurse Practitioner (Neonatal)
1 BAY AVE
MONTCLAIR, NJ 07042
Essex County (973) 429-6991

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 Mina Elmiry's NPI number?

The NPI number for Mina Elmiry is 1376247007. It was assigned to this individual provider in the NPPES registry on March 28, 2023.

Where is Mina Elmiry located?

Mina Elmiry practices at 1 Bay Ave, Montclair, NJ 07042. The listed phone number is (862) 333-4700.

What is Mina Elmiry's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Mina Elmiry enrolled in Medicare?

Yes. Mina Elmiry is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mina Elmiry was last updated on March 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.