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MARINA MIRONOVA NP
NPI 1881555712
Nurse Practitioner in Staten Island, NY

Active since November 20, 2025
292 TIMBER RIDGE DR, STATEN ISLAND, NY 10306(347) 603-5647(347) 695-1117 Get Directions Write a Review

NPPES record last updated: November 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marina Mironova Np NPPES

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

MARINA MIRONOVA NP (NPI 1881555712) is an individual nurse practitioner in Staten Island, New York, licensed in New York (F311058) and active in the NPI registry since November 2025.

NPPES Registry Identity

NPI1881555712
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMARINA MIRONOVACredential: NP
Location Address292 TIMBER RIDGE DRStaten Island, NY 10306-6124
Mailing Address292 Timber Ridge DrStaten Island, NY 10306-6124
Phone(347) 603-5647
Fax(347) 695-1117
Sole ProprietorYes
Enumeration DateNovember 20, 2025
NPPES CertifiedNovember 20, 2025
✔ NPI 1881555712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NY · F311058
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
292 TIMBER RIDGE DR, Staten Island, NY 10306
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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 Marina Mironova's NPI number?

The NPI number for Marina Mironova is 1881555712. It was assigned to this individual provider in the NPPES registry on November 20, 2025.

Where is Marina Mironova located?

Marina Mironova practices at 292 Timber Ridge Dr, Staten Island, NY 10306. The listed phone number is (347) 603-5647.

What is Marina Mironova's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Marina Mironova was last updated on November 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.