Individual provider Active NPI

Miranda L Peurala, CNM

  • Advanced Practice Midwife
  • Voorhees, NJ
National Provider Identifier
1306485560
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
25ME00069901 Issued in NJ
Practice address
165 Route 73
Voorhees, NJ 08043-9526
Phone
(856) 341-8474
NPI assigned
Jan 4, 2020
Last updated
Aug 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200309001745 NJ Practitioner - Certified Nurse Midwife (CNM) 0446688220 Reassigns benefits to 3 organizations

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
Virtua Medical Group, PAGroup PAC ID 9830222397, 1,678 clinicians

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

LicenseStateTypeSpecialty
25ME00069901NJMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeline Medical Associates, LLC CurrentSince Feb 1, 2020 Accepting new patients
Virtua Medical Group, PA CurrentSince Oct 30, 2023 Accepting new patients
Virtua Medical Group, PA Current Accepting new patients
Saint Peter's University Hospital CurrentSince Apr 26, 2023 Accepting new patients
Virtua Medical Group, PA CurrentSince Oct 30, 2023 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

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: mpeurala260622@directvirtua.org
  • FHIR API: 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.

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

Verify at the official NPI Registry.