Individual provider Active NPI

Miriam Figueroa-Velez, A-GNP-C

  • Gerontology Nurse Practitioner
  • Clinton, NJ
National Provider Identifier
1043920705
Registry record updated Dec 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
26NJ01382000 Issued in NJ
Practice address
30 County Rd 513
Clinton, NJ 08809
Phone
(908) 735-7111
NPI assigned
Dec 2, 2022
Last updated
Dec 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 26NJ01382000 NJ Primary

Addresses

Primary practice location

30 County Rd 513
Clinton, NJ 08809

Mailing address

30 County Rd 513
Clinton, NJ 08809

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20240530000135 NJ Order and Referring Only - Nurse Practitioner 7416399928

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Hudson Community Action Corporation Past Accepting new patients
North Hudson Community Action Corporation Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1669939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669939200000",
    "number": "1043920705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 COUNTY RD 513",
            "city": "CLINTON",
            "state": "NJ",
            "postal_code": "08809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 COUNTY RD 513",
            "city": "CLINTON",
            "state": "NJ",
            "postal_code": "08809",
            "telephone_number": "908-735-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIGUEROA-VELEZ",
        "first_name": "MIRIAM",
        "name_prefix": "Dr.",
        "credential": "A-GNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-02",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ01382000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, NJ

Sources for this page

Verify at the official NPI Registry.