Individual provider Active NPI

Maria Miralda-Tena, PA-C

  • Physician Assistant
  • Cedar Knolls, NJ
National Provider Identifier
1730673138
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
14 Ridgedale Ave Ste 103
Cedar Knolls, NJ 07927-1106
Phone
(973) 295-6335
NPI assigned
Jun 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA064871 PA
Physician Assistant 363A00000X NJ Primary

Addresses

Primary practice location

14 Ridgedale Ave Ste 103
Cedar Knolls, NJ 07927-1106

Mailing address

22 Clearview Ave
Princeton, NJ 08540-3920

Other practice location 1

575 State Route 28 Ste 2108
Raritan, NJ 08869-1354
Phone (973) 295-6335

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181003001322 NJ Practitioner - Physician Assistant 7618229691 Reassigns benefits to 1 organization
I20251017000050 PA Practitioner - Physician Assistant 7618229691 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inpatient Consultants of Pennsylvania PCGroup PAC ID 0244305597, 13 clinicians
NJ Pacs 2 PAGroup PAC ID 4486903705, 16 clinicians

Practice addresses (Care Compare)

1020 Oak LN
Philadelphia, PA 19126-3340
Phone (215) 224-9898

318 S Orange St
Media, PA 19063-3614
Phone (610) 566-1400

411 N Middletown Rd
Media, PA 19063-4059
Phone (610) 565-8717

700 N Franklin St
West Chester, PA 19380-2334
Phone (610) 696-5211

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA064871PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Consultants of Pennsylvania PC CurrentSince Sep 29, 2025 Accepting new patients
CS Pacs 3 Northeast, LLC CurrentSince Sep 29, 2025 Accepting new patients
NJ Pacs 2 PA CurrentSince Sep 29, 2025 Accepting new patients
Inpatient Consultants of Pennsylvania PC Physician Assistant CurrentSince Sep 29, 2025 Accepting new patients

Locations

2600 Belmont Ave
Philadelphia, PA 19131
Phone (215) 581-0705

2815 Byberry Rd
Uppr Moreland, PA 19040
Phone (215) 302-3748

Organizations & group practices 5

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": "1529366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1730673138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 CLEARVIEW AVE",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085403920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 RIDGEDALE AVE STE 103",
            "city": "CEDAR KNOLLS",
            "state": "NJ",
            "postal_code": "079271106",
            "telephone_number": "973-295-6335"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "575 State Route 28 Ste 2108",
            "address_purpose": "LOCATION",
            "city": "Raritan",
            "state": "NJ",
            "postal_code": "088691354",
            "country_code": "US",
            "telephone_number": "973-295-6335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIRALDA-TENA",
        "first_name": "MARIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-19",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA064871",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Knolls, NJ

Sources for this page

Verify at the official NPI Registry.