Individual provider Active NPI

Jennifer Lyn Miano, NP

  • Family Nurse Practitioner
  • Wappingers Falls, NY
National Provider Identifier
1689057952
Registry record updated Mar 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F339691-1 Issued in NY
Practice address
900 Route 376
Suite H
Wappingers Falls, NY 12590-6494
Phone
(845) 204-9260
NPI assigned
Jul 6, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2019

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 F339691-1 NY Primary

Addresses

Primary practice location

900 Route 376
Suite H
Wappingers Falls, NY 12590-6494

Mailing address

900 Route 376
Ste H
Wappingers Falls, NY 12590-6496
Phone (845) 204-9260

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
I20190315000296 NY Practitioner - Nurse Practitioner 0042550725 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ashraf Medical Group PLLCGroup PAC ID 1850560830, 30 clinicians

Practice addresses (Care Compare)

900 Route 376
Suite H
Wappingers Falls, NY 12590-6496
Phone (845) 204-9260

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F339691-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ashraf Medical Group PLLC CurrentSince Dec 23, 2018 Accepting new patients

Locations

1862 Pleasantville Rd
Briarcliff Manor, NY 10510
Phone (845) 204-9500

999 Route 6
Mahopac, NY 10541
Phone (845) 628-8700

3144 E Main St
Ste 2C
Mohegan Lake, NY 10547

696 Dutchess Tpke
Poughkeepsie, NY 12603
Phone (845) 454-8200

26 Winslow Gate Rd
Bldg C2
Poughkeepsie, NY 12601

900 Route 376
Ste H
Wappingers Fl, NY 12590
Phone (845) 204-9500

Interoperability endpoints

  • Direct secure messaging: jmiano@pulse-mdurgentcare.medentdirect.com

Organizations & group practices 1

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": "1436140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551744000000",
    "number": "1689057952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 ROUTE 376",
            "address_2": "STE H",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125906496",
            "telephone_number": "845-204-9260",
            "fax_number": "845-204-9257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 ROUTE 376",
            "address_2": "SUITE H",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125906494",
            "telephone_number": "845-204-9260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIANO",
        "first_name": "JENNIFER",
        "middle_name": "LYN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-06",
        "last_updated": "2019-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F339691-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wappingers Falls, NY

Sources for this page

Verify at the official NPI Registry.