Organization Active NPI

Miramace, Inc.

  • Dermatology Physician
  • Newark, DE
National Provider Identifier
1124912522
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
MIRAMACE, INC.
Practice address
131 Continental Dr Ste 305
Newark, DE 19713-4324
Phone
(267) 752-5585
NPI assigned
Jun 9, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Authorized official

Name
Prashant Kumar
Title
Owner
Phone
(267) 752-5585

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

131 Continental Dr Ste 305
Newark, DE 19713-4324

Mailing address

2 Earhart St Unit 604
Cambridge, MA 02141-1928

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1749427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749427200000",
    "number": "1124912522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 EARHART ST UNIT 604",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021411928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 CONTINENTAL DR STE 305",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197134324",
            "telephone_number": "267-752-5585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRAMACE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-09",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "PRASHANT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-752-5585"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.