Individual provider Active NPI

Katherine Migliore, PA

  • Medical Physician Assistant
  • Brooklyn, NY
National Provider Identifier
1457804353
Registry record updated Jul 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
019851-1 Issued in NY
Practice address
1414 Newkirk Ave
Brooklyn, NY 11226-6599
Phone
(718) 759-6100
Fax
(347) 533-7364
NPI assigned
Jul 27, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 019851-1 NY Primary

Addresses

Primary practice location

1414 Newkirk Ave
Brooklyn, NY 11226-6599

Mailing address

1414 Newkirk Ave
Brooklyn, NY 11226-6599
Phone (718) 759-6100

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
I20250924001074 NY Practitioner - Physician Assistant 2961907621 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
True North Medical Group PCGroup PAC ID 7012194806, 185 clinicians

Practice addresses (Care Compare)

1728 Sunrise Hwy
Merrick, NY 11566-3745
Phone (516) 992-4700

36 Lincoln Ave
Rockville Centre, NY 11570-5768
Phone (516) 536-2800

660 Broadway
Massapequa, NY 11758-2391
Phone (516) 536-2800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
019851-1NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
True North Medical Group PC CurrentSince Aug 12, 2025 Accepting new patients
True North Medical Group PC CurrentSince Aug 12, 2025 Accepting new patients
True North Medical Group PC Past Accepting new patients

Locations

1101 Stewart Ave
Ste 100
Garden City, NY 11530
Phone (516) 234-6158

8002 Kew Gardens Rd
Kew Gardens, NY 11415
Phone (718) 275-2130

1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650

36 Lincoln Ave
Fl 3
Rockville Ctr, NY 11570

Interoperability endpoints

  • Direct secure messaging: katherinemigliore@nslijmedgr.allscriptsdirect.net

Organizations & group practices 3

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": "1469577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469577600000",
    "number": "1457804353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 NEWKIRK AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112266599",
            "telephone_number": "718-759-6100",
            "fax_number": "347-533-7364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 NEWKIRK AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112266599",
            "telephone_number": "718-759-6100",
            "fax_number": "347-533-7364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIGLIORE",
        "first_name": "KATHERINE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-27",
        "last_updated": "2016-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "019851-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.