Individual provider Active NPI

Stephanie Lynn Miraglia, DPM

  • Foot & Ankle Surgery Podiatrist
  • Brooklyn, NY
National Provider Identifier
1295053080
Registry record updated May 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
006357 Issued in NY
Practice address
7512 13TH Ave
Brooklyn, NY 11228-2410
Phone
(718) 680-0575
NPI assigned
May 4, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 006357 NY Primary

Addresses

Primary practice location

7512 13TH Ave
Brooklyn, NY 11228-2410

Mailing address

7512 13TH Ave
Brooklyn, NY 11228-2410
Phone (718) 680-0575

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100817001651 NY Practitioner - Podiatry 0941334585 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7512 13TH Ave
Brooklyn, NY 11228-2410
Phone (718) 680-0575

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue28
Removal of skin lesions1-10
Removal of nail tissue231
Removal or shaving of skin growth182

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006357NYMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Alexander J Miraglia Podiatry, PLLC CurrentSince Jul 1, 2011 Accepting new patients
Amb Medical Services, P.C. Foot & Ankle Surgery Past Accepting new patients

Locations

7512 13th Ave
Brooklyn, NY 11228
Phone (718) 680-0575

Interoperability endpoints

  • Direct secure messaging: smiraglia@ajmpp-ny.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

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": "1272931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272931200000",
    "number": "1295053080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7512 13TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112282410",
            "telephone_number": "718-680-0575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7512 13TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112282410",
            "telephone_number": "718-680-0575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRAGLIA",
        "first_name": "STEPHANIE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-04",
        "last_updated": "2010-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "006357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.