Individual provider Active NPI

Miriam Kiffel

  • Physician Assistant
  • Brooklyn, NY
National Provider Identifier
1427682376
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2986 Quentin Rd
Brooklyn, NY 11229-1838
Phone
(718) 594-6278
NPI assigned
Mar 1, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

2986 Quentin Rd
Brooklyn, NY 11229-1838

Mailing address

1 Healthy Way
Oceanside, NY 11572-1551
Phone (516) 632-3454

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mliberma2@student.touro.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20210330000825 NY Practitioner - Physician Assistant 3779990270 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Touro Un Col of Osteopathic Medicine, New York, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Empire State Interventional and Endovascular Medicine PCGroup PAC ID 5092124206, 10 clinicians

Practice addresses (Care Compare)

210 Beach 47TH St
Far Rockaway, NY 11691-1100
Phone (516) 862-4900

2255 Cropsey Ave
Brooklyn, NY 11214-5705
Phone (516) 862-4900

3602 Mermaid Ave
Brooklyn, NY 11224-1511
Phone (516) 862-4900

650 E 104TH St
Brooklyn, NY 11236-2504
Phone (516) 862-4900

799 E Gun Hill Rd
Bronx, NY 10467-6107
Phone (516) 862-4900

820 Front St
Hempstead, NY 11550-4627
Phone (516) 862-4900

9502 Rockaway Beach Blvd
Rockaway Beach, NY 11693-1317
Phone (516) 862-4900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Sinai School of Medicine Physician Assistant CurrentSince Dec 24, 2020 Accepting new patients
Mount Sinai School of Medicine CurrentSince Dec 24, 2020 Accepting new patients
Mount Sinai School of Medicine Past Accepting new patients

Locations

1 Healthy Way
Oceanside, NY 11572
Phone (516) 255-1581

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1583020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1427682376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HEALTHY WAY",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115721551",
            "telephone_number": "516-632-3454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2986 QUENTIN RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291838",
            "telephone_number": "718-594-6278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIFFEL",
        "first_name": "MIRIAM",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-01",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mliberma2@student.touro.edu",
            "affiliation": "N",
            "endpointDescription": "School email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2986 Quentin Rd",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112291838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.