Miles of Smiles Inc

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

MILES OF SMILES INC

Practice address

10 Mercer PL
Staten Island, NY 10308-3431

Phone

(718) 593-9909

NPI assigned

Mar 12, 2019

Last updated

Mar 12, 2019By 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

Yuliya Petrova, MSEDNPI 1811237480

Title

Owner

Phone

(718) 593-9909

Specialties & licenses 1

Addresses

Other names 1

• Miles of Smiles Inc Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Yuliya Petrova, MS, MA

  • Specialist
  • Staten Island, NY
  • NPI 1811237480
  NPD Authorized official

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

{
    "created_epoch": "1552348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552348800000",
    "number": "1285193938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MERCER PL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103083431",
            "telephone_number": "718-593-9909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MERCER PL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103083431",
            "telephone_number": "718-593-9909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Mercer Pl",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103083431",
            "country_code": "US",
            "telephone_number": "718-593-9909 x71859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MILES OF SMILES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-12",
        "last_updated": "2019-03-12",
        "status": "A",
        "authorized_official_last_name": "PETROVA",
        "authorized_official_first_name": "YULIYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-593-9909",
        "authorized_official_credential": "MSED"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miles of Smiles Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jacqueline Mikhly, D.M.D.
• Yewande Temitope Mikoku, NURSE PRACTITIONER
• Victoria Milata
• Heather Joy Milatta
• Jeanine Milazzo
• Milestones in Motion Physical Therapy Wellness, PC
• Bethanie Milford, LMSW
• Diane Marie Milio, LCSW
• Olga Militsina, FNP
• Mill Park Drugs Inc

• Early Intervention Provider Agency in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; 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.