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

Mariam Ansari

Individual provider Family Medicine Physician · NPI 1164884334

Mariam Ansari is a Family Practice in Stamford, Connecticut. Qualified in 2016, 10 years ago. Practices with Northeast Medical Group Inc, a 1,360-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Connecticut and New York.

Years since qualifying
10
Licensed in
CT, NY
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

260 Long Ridge Rd
Stamford, CT 06902-1638
Phone: (475) 619-6035
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 8900 Van Wyck Expy, Jamaica, NY 11418-2832 — (718) 206-6000
  • 325 Essjay Rd Ste 170, Williamsville, NY 14221-8243 — (716) 656-4462

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 79980 (CT)
Family Medicine Physician Taxonomy 207Q00000X · Licence 303761 (NY)

Record details

NPI number1164884334
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 25, 2016
Last updated in NPPESApril 18, 2025
Certification dateApril 18, 2025
Mailing address260 Long Ridge Rd, Stamford, CT 06902-1638

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Northeast Medical Group Inc — 1360 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Stamford