Individual provider Active NPI

Angelina Francis Miraglio, PA-C

  • Physician Assistant
  • Rockville Centre, NY
National Provider Identifier
1750832531
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
026618 Issued in NY
Practice address
350 Sunrise Hwy
Rockville Centre, NY 11570-4908
Phone
(516) 763-4764
NPI assigned
Oct 17, 2016
Last updated
Sep 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.PA.60705011 WA
Physician Assistant 363A00000X 026618 NY Primary

Addresses

Primary practice location

350 Sunrise Hwy
Rockville Centre, NY 11570-4908

Mailing address

One Hollow Lane Suite 301
Lake Success, NY 11042
Phone (516) 869-0650

Other identifiers 1

IdentifierTypeStateIssuer
2098146MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20260518001612 MA Practitioner - Physician Assistant 8426335969 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Health Guard PCGroup PAC ID 8224503776, 4 clinicians

Practice addresses (Care Compare)

140 Prescott St
North Andover, MA 01845-1826
Phone (718) 689-6006

146 Park Ave
Arlington, MA 02476-5829
Phone (718) 689-6006

3 Park Dr
Westford, MA 01886-3511
Phone (718) 689-6006

305 Walpole St
Norwood, MA 02062-3021
Phone (718) 689-6006

455 Brayton Ave
Somerset, MA 02726-2642
Phone (718) 689-6006

4901 N Main St
Fall River, MA 02720-2080
Phone (718) 689-6006

495 New Boston Rd
Fall River, MA 02720-5835
Phone (718) 689-6006

888 N Main St
Brockton, MA 02301-1668
Phone (718) 689-6006

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
026618NYMDClinical Psychologist
PA.PA.60705011WAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
PM Pediatrics of Mamaroneck Past Accepting new patients
PM Pediatrics of New England LLC Past Accepting new patients
PM Pediatrics of New England LLC Past Accepting new patients
PM Pediatrics of Connecticut Past Accepting new patients
Allied Physicians Group, PLLC PastSince Sep 5, 2021 Accepting new patients
Night Lite Pediatric Center, LLC PastSince Sep 5, 2021 Accepting new patients
PM Pediatrics of New England LLC Past Accepting new patients
PM Pediatrics of California Professional Corporation Past Accepting new patients
PM Pediatrics of New England LLC Past Accepting new patients
PM Pediatrics of Bayside PLLC Past Accepting new patients

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1750832531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE HOLLOW LANE SUITE 301",
            "city": "LAKE SUCCESS",
            "state": "NY",
            "postal_code": "11042",
            "telephone_number": "516-869-0650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 SUNRISE HWY",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115704908",
            "telephone_number": "516-763-4764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRAGLIO",
        "first_name": "ANGELINA",
        "middle_name": "FRANCIS",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-17",
        "last_updated": "2021-09-01",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA.PA.60705011",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "026618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2098146",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville Centre, NY

Sources for this page

Verify at the official NPI Registry.