Individual provider Active NPI

Miyaseki Sakaeda Paragas, NP

  • Family Nurse Practitioner
  • Long Island City, NY
National Provider Identifier
1013551720
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
345174 Issued in NY
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

Updated by the provider on Dec 14, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240301000444 NY Practitioner - Nurse Practitioner 2567807431 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
570536NYMDEmergency Registered Nurse
345174NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fpa Hospital Based CurrentSince Feb 1, 2024 Accepting new patients
Fpa Hospital Based Current Accepting new patients
Fpa Hospital Based CurrentSince Feb 1, 2024 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.

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

Verify at the official NPI Registry.