Miracle Infusion and Specialty Pharmacy, Inc.

Primary specialty

Home Infusion Therapy PharmacyTaxonomy code 3336H0001X

Legal business name

MIRACLE INFUSION AND SPECIALTY PHARMACY, INC.

Doing business as

Vital Care of Princeton

Practice address

1527 State Route 27 Ste 1300
Somerset, NJ 08873-3905

Phone

(732) 487-2311

Fax

(732) 487-2340

NPI assigned

May 13, 2022

Last updated

May 13, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Asma Surayya

Title

Manager

Phone

(732) 487-2311

Specialties & licenses 4

Addresses

Other names 1

• Vital Care of Princeton Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1652400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652400000000",
    "number": "1255078036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1527 STATE ROUTE 27 STE 1300",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088733905",
            "telephone_number": "732-487-2311",
            "fax_number": "732-487-2340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1527 STATE ROUTE 27 STE 1300",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088733905",
            "telephone_number": "732-487-2311",
            "fax_number": "732-487-2340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE INFUSION AND SPECIALTY PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-13",
        "last_updated": "2022-05-13",
        "certification_date": "2022-05-13",
        "status": "A",
        "authorized_official_last_name": "SURAYYA",
        "authorized_official_first_name": "ASMA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "732-487-2311"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vital Care of Princeton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Milizzo, LCSW
• Diacynth Miller-Ames
• Christopher Ryan Miller, PT
• Mindspace Mental Health
• Maryanne Minischetti, RN APNC PHD
• Batia Miretzky Drucker, LCSW
• Manju Misra, M.D.
• Diana Rachel Misrahi, OTR/L
• Mousumi Seal Mitra, FNP
• Bharath Kumar Mittapalli, M.D.

• Home Infusion Therapy Pharmacy in Somerset, NJ
• Providers in Somerset, NJ by specialty
• Home Infusion Therapy Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.