Meridith Mikulich, MPH, CNM, RN

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

001764 Issued in NY

Practice address

University Associates in OB/GYN HSC Level 9, Room 020
Stony Brook, NY 11794

Phone

(973) 222-0412

NPI assigned

Jan 8, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife, Registered Nurse

State licenses

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

{
    "created_epoch": "1483833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631923200000",
    "number": "1215473749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1559",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117944142",
            "telephone_number": "973-222-0412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY ASSOCIATES IN OB/GYN HSC LEVEL 9, ROOM 020",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "11794",
            "telephone_number": "973-222-0412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKULICH",
        "first_name": "MERIDITH",
        "name_prefix": "Ms.",
        "credential": "MPH, CNM, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-08",
        "last_updated": "2021-09-18",
        "certification_date": "2021-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NY",
            "license": "001764",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NY",
            "license": "001764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dina Michael
• Farrah Michel, LPN
• Ellen Michelson, LPN
• Phyllis Migdal, M.D.
• Charles Bazemore Mikell III, M.D.
• Carolyn Milana, M.D.
• Jessica Sara Miller Mantell, D.O
• Charla Miller, DO
• Connelly Dominick Miller
• Eleanor S Miller, P.A.

• Advanced Practice Midwife in Stony Brook, NY
• Providers in Stony Brook, NY by specialty
• Advanced Practice Midwife in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2021; 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.