Miriam Pavlovsky, RN, AGPCNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

308475 Issued in NY

Practice address

1001 Mitchel Field Way
Garden City, NY 11530-5061

Phone

(347) 204-5288

NPI assigned

Aug 2, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2000

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Doc on the Go Inc

  • Adult Health Nurse Practitioner
  • Oyster Bay, NY
  • NPI 1457219958

  Single Specialty

  Medicare reassignment NPD Authorized official
• Oyster Bay Family Optometric Care, P.C.

  dba Oyster Bay Family Eye Care

  • Eyewear Supplier
  • Oyster Bay, NY
  • NPI 1285994186

  Single Specialty

  NPD

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

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1285158931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 MITCHEL FIELD WAY",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115305061",
            "telephone_number": "347-204-5288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 MITCHEL FIELD WAY",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115305061",
            "telephone_number": "347-204-5288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVLOVSKY",
        "first_name": "MIRIAM",
        "credential": "RN, AGPCNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-02",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NR17321500",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "308475",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NY",
            "license": "308475",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "524614",
            "primary": false
        },
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "NY",
            "license": "524614",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick J. Derosa MD Long Island Sports and Orthopedic Therapy Center
• Maureen Kathleen Patrickakos, NP
• Julie Patyk, LCSW
• Paul a. Dreschnack, MD, P.C.
• Paul R Byrne MD PC
• Pediatric Dentistry of Nassau County PLLC
• Jacqueline Pedro, M.S. ED.
• Nancy Pekusic, ANP
• Steven Pelaez, M.D.
• Jaleesa Penn, MS

• Adult Health Nurse Practitioner in Garden City, NY
• Providers in Garden City, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.