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

Vivian Ngawan SIU

Individual provider Internal Medicine Physician · NPI 1689934556

Vivian Ngawan SIU is an Internal Medicine in Mineola, New York. Graduated from New York College of Osteo Medicine of New York Institute of Technology in 2012, 14 years ago. Practices with New York University, a 5,884-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
14
Trained at
New York College of Osteo Medicine of New York Institute of Technology
Licensed in
NY
In the registry since
2012
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Practice location Address checks out

259 1st St
Mineola, NY 11501-3957
Phone: (516) 663-8963
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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 2830611 (NY)

Record details

NPI number1689934556
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 24, 2012
Last updated in NPPESJune 28, 2023
Mailing address259 1st St, Mineola, NY 11501-3957

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolNEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated 2012 (14 years in practice)
Group practice New York University — 5884 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Mineola