Mira Zeitlin

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN11017945 Issued in FL

Practice address

2500 E Hallandale Beach Blvd Ste 609
Hallandale Beach, FL 33009-4839

Phone

(954) 333-8665

NPI assigned

Mar 4, 2022

Sex

Female

Sole proprietor

Yes

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 FL, NY2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mira.zeitlin@879337066463236.direct.elationemr.com

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.

• M&V Medical Group PA

  • Internal Medicine Physician
  • Hallandale Beach, FL
  • NPI 1609657808
  Medicare reassignment NPD Authorized official
• Quality Wellness NP in Adult and Family Health PLLC

  • Adult Health Nurse Practitioner
  • Brooklyn, NY
  • NPI 1063221190
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1646352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1356098875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1865 S OCEAN DR APT 10B",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330097604",
            "telephone_number": "954-608-4586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 E HALLANDALE BEACH BLVD STE 609",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094839",
            "telephone_number": "954-333-8665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEITLIN",
        "first_name": "MIRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-04",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11017945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sergei Yuryk, DDS
• Erica Yusupov
• Gerardo Jose Zablah Regalado, M.D.
• Vladimir Zakharov, AP
• Imazulay Zalkind, CCC-SLP
• Mikhail Zelfman, D.O.
• Dmitry Zhukovski, D.O.
• Miriam Zlotin, MSN, WHNP-BC, APRN
• Zoe Hands That Heal
• Alexis Kate Turgeon Zraouli, OTR/L

• Nurse Practitioner in Hallandale Beach, FL
• Providers in Hallandale Beach, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; 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.