Rosa J Miranda, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

25MA07684400 Issued in NJ

Practice address

134 Summit Avenue
Hackensack, NJ 07601-1310

Phone

(201) 525-0077

Fax

(201) 525-0072

NPI assigned

Jan 26, 2006

Last updated

Mar 23, 2012By the provider in NPPES

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Children of Joy Pediatrics

  • Pediatrics Physician
  • Hackensack, NJ
  • NPI 1144464553
  NPD (past)
• HMH Hospitals Corporation

  dba Hackensack University Medical Center

  • General Acute Care Hospital
  • Hackensack, NJ
  • NPI 1457456279
  NPD (past)

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332460800000",
    "number": "1407826738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "582 PENN AVE",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076661609",
            "telephone_number": "201-525-0077",
            "fax_number": "201-525-0072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 SUMMIT AVENUE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011310",
            "telephone_number": "201-525-0077",
            "fax_number": "201-525-0072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA",
        "first_name": "ROSA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-26",
        "last_updated": "2012-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA07684400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0082368",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Minall, PA
• Brenda Minetti, APN
• Ahmad Minhas, DDS
• Karen M Minnett, PT
• Monica Miranda Schaeubinger, MD, MSPH
• Dipti Ram Mirchandani, MD
• Nur Fatimah Mirza
• Shital Mistry, APN
• Marva Mitchell-Sprual, NP-C
• Kristina Mitikj, DNP, RN, AGPCNP-BC

• Pediatrics Physician in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.