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

Dr. Mimi G Bansal X, MD

Individual provider Dermatology Physician · NPI 1568563567

Dr. Mimi G Bansal X, MD is a Dermatology in New Hyde Park, New York. Graduated from Northwestern University Feinberg Medical School in 1995, 31 years ago. Accepts Medicare assignment. Licensed in New York.

Years since qualifying
31
Trained at
Northwestern University Feinberg Medical School
Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2001 Marcus Ave Ste N218
New Hyde Park, NY 11042-1011
Phone: (516) 352-2700
Fax: (516) 437-6904
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 212266-1 (NY)

Record details

NPI number1568563567
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 25, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolNORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Graduated 1995 (31 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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