Active NPI
Miriam Serrano, MSED, RD, CDN, CDE
- Registered Dietitian
- New York, NY
National Provider Identifier
1174799654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 005609
- Practice address
- 1727 Amsterdam Avenue 4TH FL
New York, NY 10031-4611 - Phone
- (212) 862-0054
- Fax
- (212) 862-5516
- NPI assigned
- May 5, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 005609 | NY | Primary |
Addresses
Primary practice location
1727 Amsterdam Avenue 4TH FL
New York, NY 10031-4611
Mailing address
1727 Amsterdam Avenue 4TH FL
New York, NY 10031-4611
Phone (212) 862-0054
Other names 1
- Mrs. Miriam Hoeffner
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montefiore Medical Center | Current | Accepting new patients | |
| Montefiore Medical Center | Current | Accepting new patients | |
| Heritage Health and Housing, Inc | Past | Accepting new patients |
Locations
111 E 210th St
Bronx, NY 10467
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1063525152
-
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
-
- Federally Qualified Health Center (FQHC)
- New York, NY
- NPI 1851414965
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346198400000",
"number": "1174799654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1727 AMSTERDAM AVENUE 4TH FL",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100314611",
"telephone_number": "212-862-0054",
"fax_number": "212-862-5516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1727 AMSTERDAM AVENUE 4TH FL",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100314611",
"telephone_number": "212-862-0054",
"fax_number": "212-862-5516"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERRANO",
"first_name": "MIRIAM",
"name_prefix": "Mrs.",
"credential": "MSED, RD, CDN, CDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-05",
"last_updated": "2012-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "005609",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MIRIAM",
"last_name": "HOEFFNER",
"prefix": "MRS.",
"credential": "MSED, RD, CDN, CDE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.