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Dorna Michilin , RN

Physician β€’ Bronx, NY

Deactivated NPI 1063882769 Deactivated in NPPES Female Practitioner
Practice location in NPPES

3007 Cruger
Bronx, NY 10467

Phone: 6464259169

Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of December 23, 2019; the reason is not published. The records below are historical. They do not show whether Dorna Michilin currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date October 07, 2015
NPI Deactivation Date December 23, 2019
NPI Active Period 2015 – 2019

Practice Location & Contact Primary Location

Practice Address

3007 Cruger

Bronx, NY 10467

Telephone 6464259169

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in Bronx and New York

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Home Health Primary Specialty

NUCC Taxonomy Code: 251E00000X

License # reported to NPPES NY 518886

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New York Office of the Professions.
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Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
⚠️
NPI Profile Deactivated December 23, 2019

NPPES lists this NPI as deactivated as of December 23, 2019; the reason is not published.

βœ…
NPI Profile Active October 07, 2015

NPI status registered as active in NPPES database

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Practice Location (Initial Record) October 07, 2015

Registered at 3007 CRUGER, BRONX, NY 10467 (Tel: 6464259169)

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Business Mailing Address (Initial Record) October 07, 2015

Registered at 3007 CRUGER AVE, BRONX, NY 104678286 (Tel: 6464259169)

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Provider Name / Credentials (Initial Record) October 07, 2015

Recorded as DORNA MICHILIN, RN

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 07, 2015

Home Health (license number reported to NPPES: NY 518886)

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Initial NPI Registration & Enumeration October 07, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1063882769
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 07, 2015
Last Update: October 07, 2015
Deactivation Date: December 23, 2019

Mailing Address

3007 Cruger Ave

Bronx, NY 104678286

Phone: 6464259169

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.