Individual provider Active NPI

Miriam Ita Ford, FNP

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1629223995
Registry record updated Nov 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F330742 Issued in NY
Practice address
16 E 16TH St
Institute Family Health
New York, NY 10003-3105
Phone
(212) 633-0800
NPI assigned
Nov 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F330742 NY Primary

Addresses

Primary practice location

16 E 16TH St
Institute Family Health
New York, NY 10003-3105

Mailing address

16 E 16TH St
Institute Family Health
New York, NY 10003-3105
Phone (212) 633-0800

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
I20090708000326 NY Practitioner - Nurse Practitioner 5395896179 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Institute for Family HealthGroup PAC ID 9234048588, 188 clinicians

Practice addresses (Care Compare)

1824 Madison Ave
New York, NY 10035-3832
Phone (212) 423-4500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F330742NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Institute for Family Health Current Accepting new patients
The Institute for Family Health CurrentSince Dec 9, 2008 Accepting new patients
The Institute for Family Health CurrentSince Dec 9, 2008 Accepting new patients
The Institute for Family Health Past Accepting new patients

Locations

1025 Morrison Ave
Bronx, NY 10472
Phone (347) 821-3270

1894 Walton Ave
Bronx, NY 10453
Phone (718) 583-2508

731 White Plains Rd
Bronx, NY 10473
Phone (718) 589-8324

279 Main St
Ste 101
New Paltz, NY 12561
Phone (845) 255-2930

1824 Madison Ave
New York, NY 10035
Phone (212) 423-4200

16 E 16th St
New York, NY 10003
Phone (212) 633-0800

Networks

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

Interoperability endpoints

  • Direct secure messaging: miriam.ford.1@24989.direct.athenahealth.com

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": "1227916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227916800000",
    "number": "1629223995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 E 16TH ST",
            "address_2": "INSTITUTE FAMILY HEALTH",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033105",
            "telephone_number": "212-633-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 E 16TH ST",
            "address_2": "INSTITUTE FAMILY HEALTH",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033105",
            "telephone_number": "212-633-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "MIRIAM",
        "middle_name": "ITA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-29",
        "last_updated": "2008-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F330742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.