Individual provider Active NPI

Tyler Miranda, DPM

  • Foot & Ankle Surgery Podiatrist
  • Brooklyn, NY
National Provider Identifier
1760894125
Registry record updated May 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
P84383 Issued in NY
Practice address
585 Schenectady Ave
Attention: Orthopedic Dept Katz 6TH Floor
Brooklyn, NY 11203-1851
Phone
(718) 604-5483
NPI assigned
May 20, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X P84383 NY Primary

Addresses

Primary practice location

585 Schenectady Ave
Attention: Orthopedic Dept Katz 6TH Floor
Brooklyn, NY 11203-1851

Mailing address

585 Schenectady Ave
Attention: Orthopedic Dept Katz 6TH Floor
Brooklyn, NY 11203-1851

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160119002130 NY Practitioner - Podiatry 5597068916 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Interfaith Professional Physician Services PCGroup PAC ID 9931378171, 383 clinicians
Balance Podiatry PLLCGroup PAC ID 0345627709, 2 clinicians
Advanced Podiatry of Manhasset, PLLCGroup PAC ID 6406917343, 17 clinicians

Practice addresses (Care Compare)

1 Brookdale PLZ
Brooklyn, NY 11212-3198

119 N Park Ave
Suite 208
Rockville Centre, NY 11570-4113
Phone (516) 344-5553

1545 Atlantic Ave
Brooklyn, NY 11213-1122
Phone (718) 613-4000

2110 Northern Blvd
Suite 208
Manhasset, NY 11030-3500
Phone (516) 869-3300

Hospital & facility affiliations

  • Brookdale Hospital Medical Center Hospital, Brooklyn, NY, CCN 330233

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue51
Removal of skin lesions15
Removal of nail tissue732
Removal or shaving of skin growth297

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P84383NYMDFoot & Ankle Surgery Podiatrist
006643NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Interfaith Professional Physician Services, P.C. CurrentSince Jul 11, 2024 Accepting new patients
Balance Foot and Ankle LLC Foot & Ankle Surgery Current Accepting new patients
Balance Podiatry PLLC Foot & Ankle Surgery CurrentSince Oct 10, 2023 Accepting new patients
Brookdale Family Care Center, Inc. CurrentSince Nov 26, 2018 Accepting new patients
Kingsbrook Medical Associates, PC CurrentSince Dec 31, 2015 Accepting new patients
Kingsbrook Medical Associates PC CurrentSince Dec 31, 2015 Accepting new patients
Brookdale Hospital Medical Center CurrentSince Nov 26, 2018 Accepting new patients
The Brookdale Hospital Medical Center CurrentSince Nov 26, 2018 Accepting new patients
Brookdale Family Care Center, Inc. CurrentSince Nov 26, 2018 Accepting new patients
Urban Strategies Brookdale Family Care Center Inc CurrentSince Mar 24, 2019 Accepting new patients
Advanced Podiatry of Manhasset, PLLC Foot & Ankle Surgery CurrentSince Aug 5, 2019 Accepting new patients

Locations

1110 Eastern Pkwy
Pier Toussaint
Brooklyn, NY 11213
Phone (718) 735-1900

1873 Eastern Pkwy
Brooklyn, NY 11233
Phone (718) 240-5133

465 New Lots Ave
Brooklyn, NY 11207
Phone (718) 240-5133

585 Schenectady Ave
Fl 6
Brooklyn, NY 11203

1110 Eastern Pkwy
Brooklyn, NY 11213
Phone (718) 735-1900

1095 Flatbush Ave
Brooklyn, NY 11226
Phone (718) 240-5132

1 Brookdale Plz
Brooklyn, NY 11212
Phone (718) 240-5212

1235 Linden Blvd
Fl 2
Brooklyn, NY 11212
Phone (718) 240-7143

2554 Linden Blvd
Brooklyn, NY 11208
Phone (718) 240-5132

585 Schenectady Ave
Brooklyn, NY 11203
Phone (718) 604-0461

1545 Atlantic Ave
Brooklyn, NY 11213
Phone (718) 613-4175

2110 Northern Blvd
Ste 208
Manhasset, NY 11030
Phone (516) 627-5113

119 N Park Ave
Ste 208
Rockville Ctr, NY 11570
Phone (516) 344-5553

229 Great East Neck Rd
West Babylon, NY 11704
Phone (631) 661-0073

20 Crossways Park Dr N
Ste 304
Woodbury, NY 11797
Phone (516) 681-8866

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 12

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 4

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": "1400544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400544000000",
    "number": "1760894125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 SCHENECTADY AVE",
            "address_2": "ATTENTION: ORTHOPEDIC DEPT KATZ 6TH FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112031851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 SCHENECTADY AVE",
            "address_2": "ATTENTION: ORTHOPEDIC DEPT KATZ 6TH FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112031851",
            "telephone_number": "718-604-5483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA",
        "first_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-20",
        "last_updated": "2014-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "P84383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.