Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mariam Atia, DO

Individual provider Adult Medicine Physician · NPI 1790247005

Dr. Mariam Atia, DO is a Family Practice in Riverhead, New York. Graduated from New York College of Osteo Medicine of New York Institute of Technology in 2019, 7 years ago. Practices with Central Suffolk Hospital, a 91-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
7
Trained at
New York College of Osteo Medicine of New York Institute of Technology
Licensed in
NY
In the registry since
2019
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1300 Roanoke Ave
Riverhead, NY 11901-2058
Phone: (631) 727-1600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 314011 (NY)
Adult Medicine Physician Taxonomy 207QA0505X · Licence 314011 (NY)

Record details

NPI number1790247005
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 4, 2019
Last updated in NPPESJuly 15, 2024
Certification dateJuly 15, 2024
Mailing address289 Westwood Ave Apt 5c, Staten Island, NY 10314-5426

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolNEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated 2019 (7 years in practice)
Group practice Central Suffolk Hospital — 91 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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