Enrico Miguelino, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

25MA02280100 Issued in NJ

Practice address

99 Beauvoir Ave
Summit, NJ 07901-3533

Phone

(908) 598-1500

NPI assigned

Mar 28, 2006

Last updated

Feb 22, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Summit Anesthesia Associates PA

  • Anesthesiology Physician
  • Summit, NJ
  • NPI 1033198304
  NPD (past)
• Trinitas Anesthesia Associates, LLC

  • Anesthesiology Physician
  • Elizabeth, NJ
  • NPI 1013988054
  NPD (past)

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203638400000",
    "number": "1710948062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 48078",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071014878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 BEAUVOIR AVE",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079013533",
            "telephone_number": "908-598-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIGUELINO",
        "first_name": "ENRICO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2008-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA02280100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2052008",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicholas Robert Metrus, MD
• Michael Suhl, M.D., P.a.
• Michelle Papka, PH.D. L.L.C.
• Marianne Middlebrook, PSYD
• Margaret L. Miele, LCSW
• Miriam Josief Mikhail, PA
• Kaeleigh Milito, MS, CCC-SLP
• Aaron T Miller, MD
• Heidi Miller, MS CCC-SLP
• Kayla Miller

• Anesthesiology Physician in Summit, NJ
• Providers in Summit, NJ by specialty
• Anesthesiology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.