IWONA K MIENKO MD
NPI 1609140334
Pediatrics in Ridgewood, NY

Active since February 27, 2012
6412 FRESH POND RD, RIDGEWOOD, NY 11385(718) 497-1565(718) 497-1567 Get Directions Write a Review

NPPES record last updated: February 27, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Iwona K Mienko Md NPPES

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

IWONA K MIENKO MD (NPI 1609140334) is an individual pediatrics provider in Ridgewood, New York, licensed in New York (217951) and active in the NPI registry since February 2012.

NPPES Registry Identity

NPI1609140334
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameIWONA K MIENKOCredential: MD
Location Address6412 FRESH POND RDRidgewood, NY 11385-3331
Mailing Address6412 Fresh Pond RdRidgewood, NY 11385-3331 · (718) 497-1565 · Fax (718) 497-1567
Fax(718) 497-1567
Sole ProprietorYes
Enumeration DateFebruary 27, 2012
NPI 1609140334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in NY · 217951
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.

6412 FRESH POND RD, Ridgewood, NY 11385

Other Identifiers 1

Medicaid02105622NY

Other Providers at the Same Location NPPES 3

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

Podiatrist (Foot Surgery)
6412 FRESH POND RD
RIDGEWOOD, NY 11385
Pediatrics
6412 FRESH POND RD
RIDGEWOOD, NY 11385
Podiatrist
6412 FRESH POND RD
RIDGEWOOD, NY 11385

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609140334, enumerated as an "individual" on February 27, 2012.

The provider is located at 6412 FRESH POND RD RIDGEWOOD, NY 11385 and the phone number is (718) 497-1565.

Pediatrics with taxonomy code 208000000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.