Individual provider Active NPI

Miria Prasad-Philip, NP

  • Adult Health Nurse Practitioner
  • West Haverstraw, NY
National Provider Identifier
1447747910
Registry record updated Apr 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
308443 Issued in NY
Practice address
Helen Hayes Hospital
51-55 US-W
West Haverstraw, NY 10993
Phone
(845) 786-4000
NPI assigned
Apr 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 308443 NY Primary

Addresses

Primary practice location

Helen Hayes Hospital
51-55 US-W
West Haverstraw, NY 10993

Mailing address

518 Kings Hwy
Valley Cottage, NY 10989-1847
Phone (845) 826-1565

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
I20190118001752 NY Practitioner - Nurse Practitioner 3173869757 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
308443NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tcprnc, LLC CurrentSince Oct 27, 2018 Accepting new patients
Tcprnc, LLC CurrentSince Oct 27, 2018 Accepting new patients

Locations

100 W Kingsbridge Rd
Bronx, NY 10468
Phone (718) 410-1480

1000 Gates Ave
Ste 5
Brooklyn, NY 11221

Organizations & group practices 2

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": "1524096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524096000000",
    "number": "1447747910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 KINGS HWY",
            "city": "VALLEY COTTAGE",
            "state": "NY",
            "postal_code": "109891847",
            "telephone_number": "845-826-1565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HELEN HAYES HOSPITAL",
            "address_2": "51-55 US-W",
            "city": "WEST HAVERSTRAW",
            "state": "NY",
            "postal_code": "10993",
            "telephone_number": "845-786-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRASAD-PHILIP",
        "first_name": "MIRIA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-19",
        "last_updated": "2018-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "308443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Haverstraw, NY

Sources for this page

Verify at the official NPI Registry.