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

Miranda J Vondornum, MD

Individual provider Internal Medicine Physician · NPI 1912139007

Miranda J Vondornum, MD is an Internal Medicine in New York, New York. Graduated from Icahn School of Medicine at Mount Sinai in 2006, 20 years ago. Practices with Project Renewal Inc, a 9-clinician group and accepts Medicare assignment. Licensed in California and New York.

Years since qualifying
20
Trained at
Icahn School of Medicine at Mount Sinai
Licensed in
CA, NY
In the registry since
2009
Specialties on file
2
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

8 E 3rd St
New York, NY 10003-8908
Phone: (212) 533-6400
Fax: (212) 529-4781
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 264285 (NY)
Internal Medicine Physician Taxonomy 207R00000X · Licence A102332 (CA)

Record details

NPI number1912139007
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 22, 2009
Last updated in NPPESJanuary 2, 2023
Certification dateJanuary 2, 2023

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Graduated 2006 (20 years in practice)
Group practice Project Renewal Inc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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