Miracle Homecare Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MIRACLE HOMECARE PHYSICAL THERAPY LLC

Practice address

414 Eagle Rock Ave Ste 107
West Orange, NJ 07052-4229

Phone

(917) 603-7930

NPI assigned

Dec 26, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Elan Araten, DPTNPI 1801113246

Title

Owner

Phone

(917) 603-7930

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elan Araten, DPT

  • Physical Therapist
  • West Orange, NJ
  • NPI 1801113246
  Medicare reassignment Care Compare group NPD Authorized official
• Angelica Oi-Ling Wong, PT, DPT

  • Physical Therapist
  • Bayonne, NJ
  • NPI 1598376121
  Medicare reassignment Care Compare group NPD
• Edward Zdanowicz, PT,DPT

  • Physical Therapist
  • Staten Island, NY
  • NPI 1699229153

  NJ

  Medicare reassignment NPD

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

{
    "created_epoch": "1672012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672012800000",
    "number": "1366155194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 EAGLE ROCK AVE STE 107",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070524229",
            "telephone_number": "917-603-7930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 EAGLE ROCK AVE STE 107",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070524229",
            "telephone_number": "917-603-7930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE HOMECARE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-26",
        "last_updated": "2022-12-26",
        "certification_date": "2022-12-25",
        "status": "A",
        "authorized_official_last_name": "ARATEN",
        "authorized_official_first_name": "ELAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-603-7930",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele Miller
• Nicole Miller, PA-C
• Samuel J Miller
• Mind and Match New Jersey, P.C.
• Mindful Self Care Therapy, LLC
• Vivian Marina Miranda, LAMFT
• Robert G. Mirsky, MD
• Geetanjali Mishra
• Amit Misra, M.D.
• Tushar Jayantibhai Mistry, PHARM.D

• Physical Therapist in West Orange, NJ
• Providers in West Orange, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.