Active NPI
Vincent J Migliori, D.P.M.
- Podiatrist
- Forked River, NJ
National Provider Identifier
1366443459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- MD1436
- Practice address
- 638 Lacey Rd
Forked River, NJ 08731-2104 - Phone
- (609) 693-3202
- Fax
- (609) 693-7865
- NPI assigned
- Aug 10, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | MD1436 | NJ | Primary |
Addresses
Primary practice location
638 Lacey Rd
Forked River, NJ 08731-2104
Mailing address
54 Bey Lea Rd
Suite 1
Toms River, NJ 08753-2891
Phone (732) 505-9728
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3269400 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1436 | NJ | MD | Psychologist |
| MD1436 | NJ | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259884800000",
"number": "1366443459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "54 BEY LEA RD",
"address_2": "SUITE 1",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "087532891",
"telephone_number": "732-505-9728",
"fax_number": "732-505-9787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "638 LACEY RD",
"city": "FORKED RIVER",
"state": "NJ",
"postal_code": "087312104",
"telephone_number": "609-693-3202",
"fax_number": "609-693-7865"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIGLIORI",
"first_name": "VINCENT",
"middle_name": "J",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-10",
"last_updated": "2009-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NJ",
"license": "MD1436",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3269400",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Forked River, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.