Irina Milgram, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

25MP00189100 Issued in NJ

Practice address

561 Cranbury Rd
Suite L
East Brunswick, NJ 08816-5400

Phone

(732) 390-1883

Fax

(732) 907-1711

NPI assigned

Oct 23, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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

Physician Assistant

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Integrated Dermatology of New Jersey LLCGroup PAC ID 5395005680, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Integrated Dermatology of New Jersey, LLC

  • Dermatology Physician
  • Spotswood, NJ
  • NPI 1265955785
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260835200000",
    "number": "1285823559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 BRUNSWICK WOODS DR",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165601",
            "telephone_number": "732-254-0081",
            "fax_number": "732-254-2851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "561 CRANBURY RD",
            "address_2": "SUITE L",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165400",
            "telephone_number": "732-390-1883",
            "fax_number": "732-907-1711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILGRAM",
        "first_name": "IRINA",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-23",
        "last_updated": "2009-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00189100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marian B. Mikaile
• Salwa Mikhail Samwail Mikhail, MD
• Vairona Mikhail, O.D.
• Simona Miladinoska
• Donna Miles-Gillick, PT
• Sandy Milgraum
• Scott Michael Miller, M.D.
• Sherry B Miller, M.S.
• Tamara Lynn Miller, MA, NCC, LAC
• Simone Milyavsky

• Medical Physician Assistant in East Brunswick, NJ
• Providers in East Brunswick, NJ by specialty
• Medical Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; 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.