Individual provider Active NPI

Malaika Amina Miller, CNM

  • Advanced Practice Midwife
  • Brooklyn, NY
National Provider Identifier
1225580780
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
Practice address
1322 Troy Ave
Brooklyn, NY 11203-5730
Phone
(917) 213-5313
Fax
(917) 277-8216
NPI assigned
Nov 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 001765 NY
Advanced Practice Midwife 367A00000X Primary

Addresses

Primary practice location

1322 Troy Ave
Brooklyn, NY 11203-5730

Mailing address

1322 Troy Ave
Brooklyn, NY 11203-5730
Phone (917) 213-5313

Other practice location 1

123 Linden Blvd
Suite 26D
Brooklyn, NY 11226-9711
Phone (917) 213-5313

Other practice location 2

1176 5th Ave
New York, NY 10029-6503
Phone (212) 241-5501

Other practice location 3

1400 Pelham Pkwy S
Bronx, NY 10461-1138
Phone (718) 918-6326

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190107001002 NY Practitioner - Certified Nurse Midwife (CNM) 3274893482 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
001765NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sun River Health Inc Current Accepting new patients
Physician Affiliate Group of New York PC CurrentSince Mar 1, 2024 Accepting new patients
Sun River Health Inc. CurrentSince Nov 7, 2018 Accepting new patients
Mother Ocean Midwifery Advanced Practice Midwife CurrentSince Nov 1, 2023 Accepting new patients
Icahn School of Medicine at Mount Sinai Past Accepting new patients

Locations

3360 Route 343
Amenia, NY 12501
Phone (845) 373-9006

1869 Brentwood Rd
Brentwood, NY 11717
Phone (631) 416-5480

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: mmiller847083@nychhc.direct-ci.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1477958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1225580780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1322 TROY AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112035730",
            "telephone_number": "917-213-5313",
            "fax_number": "917-277-8216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 TROY AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112035730",
            "telephone_number": "917-213-5313",
            "fax_number": "917-277-8216"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 Linden Blvd",
            "address_2": "Suite 26D",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112269711",
            "country_code": "US",
            "telephone_number": "917-213-5313",
            "fax_number": "917-277-8216",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1176 5th Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100296503",
            "country_code": "US",
            "telephone_number": "212-241-5501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 Pelham Pkwy S",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104611138",
            "country_code": "US",
            "telephone_number": "718-918-6326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MALAIKA",
        "middle_name": "AMINA",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-01",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NY",
            "license": "001765",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.