Individual provider Active NPI

Mary Ellen Miraglilo, APN, FNP-BC

  • Family Nurse Practitioner
  • Somers Point, NJ
National Provider Identifier
1114632692
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ01423800 Issued in NJ
Practice address
443 Shore Rd Ste 103
Somers Point, NJ 08244-2645
Phone
(609) 569-7077
NPI assigned
Jan 18, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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 26NJ01423800 NJ Primary

Addresses

Primary practice location

443 Shore Rd Ste 103
Somers Point, NJ 08244-2645

Mailing address

206 Infield Ave
Northfield, NJ 08225-1944
Phone (609) 675-1589

Other practice location 1

2500 English Creek Ave Ste 908
Egg Harbor Township, NJ 08234-5587
Phone (609) 407-2380

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Maryellen.Miraglilo@atlanticare.org Direct

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
I20230328000620 NJ Practitioner - Nurse Practitioner 0244604577 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlantic Emergency Associates PAGroup PAC ID 1153354170, 48 clinicians
Atlanticare Physician Group PAGroup PAC ID 8527953660, 506 clinicians

Practice addresses (Care Compare)

1925 Pacific Ave
Atlantic City, NJ 08401-6713
Phone (609) 345-4000

2500 English Creek Ave
BLDG 800
Egg Harbor Township, NJ 08234-5549
Phone (609) 407-2332

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ01423800NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanticare Physician Group CurrentSince Mar 26, 2023 Accepting new patients
Atlanticare Physician Group PA Current Accepting new patients
Atlanticare Physician Group, PA CurrentSince Mar 26, 2023 Accepting new patients
Atlantic Emergency Associates, PA CurrentSince Oct 1, 2023 Accepting new patients
Atlanticare Urgent Care Physicians LLC Past Accepting new patients

Locations

1925 Pacific Ave
Atlantic City, NJ 08401
Phone (609) 441-8023

2500 English Creek Ave
Ste 908
Egg Harbor Twp, NJ 08234
Phone (609) 407-2380

2500 English Creek Ave
Ste 800
Egg Hbr Twp, NJ 08234
Phone (609) 407-2277

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

65 W Jimmie Leeds Rd
Pomona, NJ 08240
Phone (609) 484-6414

443 Shore Rd
Ste 103
Somers Point, NJ 08244
Phone (609) 569-7077

Interoperability endpoints

  • Direct secure messaging: maryellen.miraglilo@atlanticare.org

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1674000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1114632692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 INFIELD AVE",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082251944",
            "telephone_number": "609-675-1589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "443 SHORE RD STE 103",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442645",
            "telephone_number": "609-569-7077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 English Creek Ave Ste 908",
            "address_purpose": "LOCATION",
            "city": "Egg Harbor Township",
            "state": "NJ",
            "postal_code": "082345587",
            "country_code": "US",
            "telephone_number": "609-407-2380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIRAGLILO",
        "first_name": "MARY",
        "middle_name": "ELLEN",
        "credential": "APN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-18",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01423800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Maryellen.Miraglilo@atlanticare.org",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "443 Shore Rd Ste 103",
            "city": "Somers Point",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "082442645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Somers Point, NJ

Sources for this page

Verify at the official NPI Registry.