Individual provider Active NPI

Miran An

  • Family Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1063924249
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F341009 Issued in NY
Practice address
1371 Seabury Ave
Bronx, NY 10461-3651
Phone
(718) 294-6200
Fax
(718) 294-6259
NPI assigned
Oct 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F341009 NY Primary

Addresses

Primary practice location

1371 Seabury Ave
Bronx, NY 10461-3651

Mailing address

1371 Seabury Ave
Bronx, NY 10461-3651
Phone (718) 294-6200

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address man@essenmed.com Direct

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
I20210608003043 NY Practitioner - Nurse Practitioner 1254731581 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
House Call Medical Services of New York, PLLCGroup PAC ID 2264517754, 162 clinicians

Practice addresses (Care Compare)

1371 Seabury Ave
Bronx, NY 10461-3651
Phone (718) 618-0401

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F341009NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
House Call Medical Services of New York, PLLC CurrentSince Oct 4, 2023 Accepting new patients
Essen Medical Associates, PC CurrentSince Oct 4, 2023 Accepting new patients
Bronx Medical Practice P.C. CurrentSince Oct 4, 2023 Accepting new patients
Essen Medical Associates, PC CurrentSince Oct 4, 2023 Accepting new patients

Locations

1009 E 163rd St
Bronx, NY 10459
Phone (718) 828-6800

1550 Dr Martin L King Jr Blvd
Bronx, NY 10452
Phone (347) 269-2366

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

2722 White Plains Rd
Ste A
Bronx, NY 10467

3130 Grand Concourse
Ste 1N
Bronx, NY 10458
Phone (718) 365-0892

1434 Williamsbridge Rd
Ste A
Bronx, NY 10461

2308 Eastchester Rd
Bronx, NY 10469

502 E Tremont Ave
Bronx, NY 10457
Phone (646) 762-6905

616 Castle Hill Ave
Ste A
Bronx, NY 10473

108 E 183rd St
Bronx, NY 10453
Phone (718) 295-4600

918 Pelham Pkwy S
Ste 1
Bronx, NY 10462

2445 Arthur Ave
Bronx, NY 10458
Phone (718) 220-3434

305 E 149th St
Bronx, NY 10451
Phone (212) 470-9229

1990 McGraw Ave
Ste A
Bronx, NY 10462

1181 Grand Concourse
Bronx, NY 10452
Phone (718) 655-1400

5667 Riverdale Ave
Bronx, NY 10471

2742 3rd Ave
Ste A
Bronx, NY 10455

5997 Riverdale Ave
Bronx, NY 10471
Phone (718) 601-1900

3134 E Tremont Ave
Bronx, NY 10461
Phone (718) 239-1000

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • 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": "1509148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1063924249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1371 SEABURY AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104613651",
            "telephone_number": "718-294-6200",
            "fax_number": "718-294-6259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1371 SEABURY AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104613651",
            "telephone_number": "718-294-6200",
            "fax_number": "718-294-6259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AN",
        "first_name": "MIRAN",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-28",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F341009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "man@essenmed.com",
            "affiliation": "N",
            "endpointDescription": "House call",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1371 Seabury Ave",
            "city": "Bronx",
            "state": "NY",
            "country_code": "US",
            "postal_code": "104613651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.