Carol Miyake, M.D.

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

1712931 Issued in NY

Practice address

1 Webster Ave Ste 301
New Century Medical Associates
Poughkeepsie, NY 12601-1364

Phone

(845) 790-6100

Fax

(845) 345-9966

NPI assigned

Jul 15, 2006

Last updated

Apr 23, 2015By the provider in NPPES

Sex

Female

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

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429747200000",
    "number": "1760408330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 NORTH ROAD, SUITE 304",
            "address_2": "PREMIER MEDICAL GROUP OF THE HUDSON VALLEY, P.C.",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126011364",
            "telephone_number": "845-471-9410",
            "fax_number": "845-451-7757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WEBSTER AVE STE 301",
            "address_2": "NEW CENTURY MEDICAL ASSOCIATES",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126011364",
            "telephone_number": "845-790-6100",
            "fax_number": "845-345-9966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIYAKE",
        "first_name": "CAROL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-15",
        "last_updated": "2015-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NY",
            "license": "1712931",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01800802",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Miscedra, RPH
• Yashodhara Misra, MD
• Cameron Ritchie Mitchell, MBBCH
• Dana L. Mitchell, CPNP
• Sandeep Kumar Mittal, MD
• Joann Mizzi, RN
• Justin A. Moccio, M.A.
• Erin Rose Modesta, CASAC
• Jayesh Ramanlal Modi, MD
• Kalpana Modi, M.D.

• Endocrinology, Diabetes & Metabolism Physician in Poughkeepsie, NY
• Providers in Poughkeepsie, NY by specialty
• Endocrinology, Diabetes & Metabolism Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2015; 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.