Active NPI
Miyaseki Sakaeda Paragas, NP
- Family Nurse Practitioner
- Long Island City, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 345174
- Practice address
- 2510 30TH Ave
Long Island City, NY 11102-2448 - Phone
- (718) 808-7790
- NPI assigned
- Nov 5, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 570536 | NY | |
| Emergency Registered Nurse | 163WE0003X | 570536 | NY | |
| Family Nurse Practitioner | 363LF0000X | 345174 | NY | Primary |
Addresses
Primary practice location
2510 30TH Ave
Long Island City, NY 11102-2448
Mailing address
17203 65TH Ave FL 2
Fresh Meadows, NY 11365-2014
Phone (718) 791-5513
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 570536 | NY | MD | Emergency Registered Nurse |
| 345174 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fpa Hospital Based | Current | Accepting new patients | |
| Fpa Hospital Based | Current | Accepting new patients | |
| Fpa Hospital Based | Current | Accepting new patients | |
| Mount Sinai School of Medicine | Past | Accepting new patients |
Locations
3131 Kings Hwy
Ste A4
Brooklyn, NY 11234
Phone (718) 758-1500
3201 Kings Hwy
Brooklyn, NY 11234
Phone (718) 252-3000
300 Cadman Plz W
Fl 18
Brooklyn, NY 11201
Phone (929) 210-6000
3712 82nd St
Jackson Hts, NY 11372
Phone (718) 879-1600
2520 30th Ave
Long Island City, NY 11102
Phone (718) 267-4230
2510 30th Ave
Long Island City, NY 11102
Phone (718) 267-4245
425 W 59th St
Ste 6C
New York, NY 10019
Phone (212) 523-7786
1090 Amsterdam Ave
Fl 3
New York, NY 10025
Phone (212) 523-8333
5 E 98th St
#12
New York, NY 10029
Phone (212) 241-8303
1176 5th Ave
New York, NY 10029
Phone (212) 241-6237
1000 10th Ave
Fl 4
New York, NY 10019
Phone (212) 523-8332
1470 Madison Ave
New York, NY 10029
Phone (212) 241-0806
787 11th Ave
#7
New York, NY 10019
325 W 15th St
New York, NY 10011
Phone (212) 523-5938
10 Union Sq E
New York, NY 10003
Phone (212) 253-6800
1468 Madison Ave
#175
New York, NY 10029
Phone (212) 241-8333
1111 Amsterdam Ave
New York, NY 10025
Phone (212) 523-2309
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Nuclear Medicine Physician
- New York, NY
- NPI 1629319413
-
- Diagnostic Radiology Physician
- New York, NY
- NPI 1487995700
-
- Dermatopathology (Pathology) Physician
- New York, NY
- NPI 1841531795
-
- Emergency Medicine Physician
- New York, NY
- NPI 1891757340
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670976000000",
"number": "1013551720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17203 65TH AVE FL 2",
"city": "FRESH MEADOWS",
"state": "NY",
"postal_code": "113652014",
"telephone_number": "718-791-5513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2510 30TH AVE",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111022448",
"telephone_number": "718-808-7790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARAGAS",
"first_name": "MIYASEKI",
"middle_name": "SAKAEDA",
"name_prefix": "Mr.",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-11-05",
"last_updated": "2022-12-14",
"certification_date": "2022-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "570536",
"primary": false
},
{
"code": "163WE0003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Emergency",
"state": "NY",
"license": "570536",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "345174",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Island City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.