Miranda Villanueva, M.S., PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

25MP00177400 Issued in NJ

Practice address

901 W Main St
Centrastate Medical Center
Freehold, NJ 07728-2537

Phone

(732) 294-2666

Fax

(732) 431-8267

NPI assigned

Mar 19, 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

Other names 1

• Miranda Youssef Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: mvillanueva425538@direct.ahsys.org

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.

• Central Jersey Emergency Medicine Associates, PC

  • Emergency Medicine Physician
  • Freehold, NJ
  • NPI 1538106257
  Medicare reassignment
• Live Urgent Care LLC

  dba Live Urgent Care

  • Family Medicine Physician
  • Bellmawr, NJ
  • NPI 1407439870
  Medicare reassignment
• Morristown Emergency Medical Associates LLC

  • Emergency Medicine Physician
  • Freehold, NJ
  • NPI 1649541087
  Medicare reassignment

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306960026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2680",
            "address_2": "CENTRAL JERSEY EMERGENCY MED ASSOC PC",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089032680",
            "telephone_number": "800-666-2455",
            "fax_number": "610-617-6280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W MAIN ST",
            "address_2": "CENTRASTATE MEDICAL CENTER",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282537",
            "telephone_number": "732-294-2666",
            "fax_number": "732-431-8267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLANUEVA",
        "first_name": "MIRANDA",
        "credential": "M.S., PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00177400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIRANDA",
            "last_name": "YOUSSEF",
            "credential": "MS,PAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Corazon Suarez Velez, M.D.
• Dana Verderosa
• Julie Verona
• Boris Veysman
• Vibro at Freehold LLC
• Chelsea Vindici, DPT
• Manuel Catillo Viola, P.T.
• Virtual Colonoscopy Company LLC
• Vincent Michael Visioli, LCSW
• Vision Consultants of New Jersey, LLC

• Medical Physician Assistant in Freehold, NJ
• Providers in Freehold, 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 Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.