Active NPI
Miranda L Peurala, CNM
- Advanced Practice Midwife
- Voorhees, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 25ME00069901
- Practice address
- 165 Route 73
Voorhees, NJ 08043-9526 - Phone
- (856) 341-8474
- NPI assigned
- Jan 4, 2020
- Last updated
- Aug 9, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 25ME00069901 | NJ | Primary |
Addresses
Primary practice location
165 Route 73
Voorhees, NJ 08043-9526
Mailing address
301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
Phone (856) 355-0340
Other practice location 1
1221 Old York Rd
Burlington, NJ 08016-3809
Phone (609) 502-2249
Other practice location 2
1221 Old York Rd
Burlington, NJ 08016-3809
Phone (609) 502-2249
Other practice location 3
100 Independence Blvd Ste 100
Sicklerville, NJ 08081-1039
Phone (856) 341-8474
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mpeurala260622@directvirtua.org | ||
| Direct Messaging Address | mpeurala260622@directvirtua.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
165 Route 73
Voorhees, NJ 08043-9526
Phone (856) 341-8474
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25ME00069901 | NJ | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifeline Medical Associates, LLC | Current | Accepting new patients | |
| Virtua Medical Group, PA | Current | Accepting new patients | |
| Virtua Medical Group, PA | Current | Accepting new patients | |
| Saint Peter's University Hospital | Current | Accepting new patients | |
| Virtua Medical Group, PA | Current | Accepting new patients | |
| Saint Peter's University Hospital | Current | Accepting new patients |
Locations
3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340
16 Pocono Rd
Frnt
Denville, NJ 07834
Phone (973) 784-3935
2 Princess Rd
Ste C
Lawrenceville, NJ 08648
Phone (609) 896-0777
301 Lippincott Dr
Ste 410
Marlton, NJ 08053
254 Easton Ave
New Brunswick, NJ 08901
Phone (732) 565-5453
123 How Ln
New Brunswick, NJ 08901
Phone (732) 448-1000
99 Cherry Hill Rd
Ste 220
Parsippany, NJ 07054
Phone (973) 316-6763
100 Independence Blvd
Ste 100
Sicklerville, NJ 08081
Phone (856) 341-8474
165 Route 73
Voorhees, NJ 08043
Phone (856) 341-8474
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- mpeurala260622@directvirtua.org
- https://api.platform.athenahealth.com/8568/brand/1/csg/1/fhir/r4
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Marlton, NJ
- NPI 1649226515
-
- Obstetrics & Gynecology Physician
- Florham Park, NJ
- NPI 1821041617
-
- General Acute Care Hospital
- New Brunswick, NJ
- NPI 1114924834
-
dba Saint Peter's Behavioral Health Group
- Clinical Psychologist
- New Brunswick, NJ
- NPI 1376079590
-
- Urgent Care Clinic/Center
- Medford, NJ
- NPI 1144770975
-
dba Virtua Reconstructive Orthopedics - Delran
- Orthopaedic Surgery Physician
- Delran, NJ
- NPI 1841087988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723161600000",
"number": "1306485560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 LIPPINCOTT DR STE 410",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080534197",
"telephone_number": "856-355-0340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "165 ROUTE 73",
"city": "VOORHEES",
"state": "NJ",
"postal_code": "080439526",
"telephone_number": "856-341-8474"
}
],
"practiceLocations": [
{
"address_1": "1221 Old York Rd",
"address_purpose": "LOCATION",
"city": "Burlington",
"state": "NJ",
"postal_code": "080163809",
"country_code": "US",
"telephone_number": "609-502-2249",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1221 Old York Rd",
"address_purpose": "LOCATION",
"city": "Burlington",
"state": "NJ",
"postal_code": "080163809",
"country_code": "US",
"telephone_number": "609-502-2249",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Independence Blvd Ste 100",
"address_purpose": "LOCATION",
"city": "Sicklerville",
"state": "NJ",
"postal_code": "080811039",
"country_code": "US",
"telephone_number": "856-341-8474",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEURALA",
"first_name": "MIRANDA",
"middle_name": "L",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-04",
"last_updated": "2024-08-09",
"certification_date": "2024-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "NJ",
"license": "25ME00069901",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mpeurala260622@directvirtua.org",
"affiliation": "N",
"address_1": "165 Route 73",
"city": "Voorhees",
"state": "NJ",
"country_code": "US",
"postal_code": "080439526",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mpeurala260622@directvirtua.org",
"affiliation": "N",
"address_1": "100 Independence Blvd Ste 100",
"city": "Sicklerville",
"state": "NJ",
"country_code": "US",
"postal_code": "080811039",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Voorhees, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; 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.