Individual provider Active NPI

Eduardo De Paula Miranda, M.D., PH.D.

  • Specialist
  • New York, NY
National Provider Identifier
1013369198
Registry record updated Jul 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
P01079 Issued in NY
Practice address
16 E 60TH St
Suite 402
New York, NY 10022-1096
Phone
(646) 888-6059
NPI assigned
Jul 12, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X P01079 NY Primary

Addresses

Primary practice location

16 E 60TH St
Suite 402
New York, NY 10022-1096

Mailing address

303 E 60TH St
Apt 30F
New York, NY 10022-1514
Phone (646) 678-8615

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
P01079NYMDSpecialist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468281600000",
    "number": "1013369198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E 60TH ST",
            "address_2": "APT 30F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221514",
            "telephone_number": "646-678-8615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 E 60TH ST",
            "address_2": "SUITE 402",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221096",
            "telephone_number": "646-888-6059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE PAULA MIRANDA",
        "first_name": "EDUARDO",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-12",
        "last_updated": "2016-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "P01079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.