Individual provider Active NPI

Maurizio A. Miglietta, DO

  • Surgical Critical Care Physician
  • Teaneck, NJ
National Provider Identifier
1710973243
Registry record updated Jul 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Critical Care PhysicianTaxonomy code 2086S0102X
License
225720 Issued in NY
Practice address
222 Cedar LN Ste 201
Teaneck, NJ 07666-4312
Phone
(888) 320-0922
Fax
(888) 909-4197
NPI assigned
Sep 20, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Trauma Surgery Physician 2086S0127X MB67018 NJ
Surgical Critical Care Physician 2086S0102X 225720 NY Primary
Surgery Physician 208600000X 25MB0670800 NJ

Addresses

Primary practice location

222 Cedar LN Ste 201
Teaneck, NJ 07666-4312

Mailing address

800 Park Ave Apt 2903
Fort Lee, NJ 07024-3779
Phone (888) 320-0922

Other practice location 1

103 River Rd
Suite 101
Edgewater, NJ 07020-1016
Phone (888) 320-0922

Other identifiers 2

IdentifierTypeStateIssuer
7648707MedicaidNJ
0233768MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050831000385 NJ Practitioner - General SurgeryPractitioner - Critical Care (Intensivists) 3577595487 Reassigns benefits to 2 organizations
I20070604000613 NY Practitioner - General SurgeryPractitioner - Critical Care (Intensivists) 3577595487 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Critical Care (Intensivists)
Education
New York College of Osteo Medicine of New York Institute of Technology, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

223 N Van Drew Ave
Ridgewood, NJ 07450
Phone (201) 447-8490

250 Old Hook Rd
Westwood, NJ 07675-3123
Phone (201) 880-2700

350 Engle St
Englewood, NJ 07631-1808
Phone (201) 894-3000

Hospital & facility affiliations

  • Hackensack Meridian Health Pascack Valley Medical Hospital, Westwood, NJ, CCN 310130
  • Englewood Hospital and Medical Center Hospital, Englewood, NJ, CCN 310045

Merit-based Incentive Payment System (MIPS)

Final score
85.28 of 100Reported as group
Quality
75.06
Promoting interoperability
100
Improvement activities
40
Cost
69.26

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MB0670800NJMDSurgery Physician
225720NYMDSurgical Critical Care Physician
MB67018NJMDTrauma Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bergen County Improvement Authority CurrentSince Sep 1, 2019 Accepting new patients
Palisades Surgical Associates, P.C. Surgery CurrentSince Sep 1, 1998 Accepting new patients
Ijkg Opco LLC Current Accepting new patients
MVHS Inc CurrentSince Apr 18, 2023 Accepting new patients
MVHS Inc CurrentSince Apr 18, 2023 Accepting new patients
Bergen County Improvement Authority CurrentSince Sep 1, 2019 Accepting new patients
Adam Health, PA Surgery CurrentSince Mar 21, 2021 Accepting new patients
MVHS Inc Past Accepting new patients
MVHS Inc Past Accepting new patients
Global Medical Guardians Surgery Past Accepting new patients

Locations

103 River Rd
Ste 101
Edgewater, NJ 07020
Phone (201) 606-2592

230 E Ridgewood Ave
Paramus, NJ 07652
Phone (201) 225-4700

222 Cedar Ln
Ste 201
Teaneck, NJ 07666
Phone (201) 530-1900

1656 Champlin Ave
New Hartford, NY 13413
Phone (315) 624-6222

1676 Sunset Ave
Utica, NY 13502
Phone (315) 624-5567

Interoperability endpoints

  • Direct secure messaging: maurizio.miglietta@direct.bayonnemedicalcenter.md
  • Direct secure messaging: mmiglietta189995@ahs.direct-ci.com

Organizations & group practices 10

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595548800000",
    "number": "1710973243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 PARK AVE APT 2903",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070243779",
            "telephone_number": "888-320-0922",
            "fax_number": "888-909-4197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 CEDAR LN STE 201",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664312",
            "telephone_number": "888-320-0922",
            "fax_number": "888-909-4197"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103 River Rd",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Edgewater",
            "state": "NJ",
            "postal_code": "070201016",
            "country_code": "US",
            "telephone_number": "888-320-0922",
            "fax_number": "888-909-4197",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIGLIETTA",
        "first_name": "MAURIZIO",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "NJ",
            "license": "MB67018",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "NY",
            "license": "225720",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MB0670800",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7648707",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0233768",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

Verify at the official NPI Registry.