Active NPI
Tyler Miranda, DPM
- Foot & Ankle Surgery Podiatrist
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- P84383
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 51 |
| Removal of skin lesions | 15 |
| Removal of nail tissue | 732 |
| Removal or shaving of skin growth | 297 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P84383 | NY | MD | Foot & Ankle Surgery Podiatrist |
| 006643 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Interfaith Professional Physician Services, P.C. | Current | Accepting new patients | |
| Balance Foot and Ankle LLC | Foot & Ankle Surgery | Current | Accepting new patients |
| Balance Podiatry PLLC | Foot & Ankle Surgery | Current | Accepting new patients |
| Brookdale Family Care Center, Inc. | Current | Accepting new patients | |
| Kingsbrook Medical Associates, PC | Current | Accepting new patients | |
| Kingsbrook Medical Associates PC | Current | Accepting new patients | |
| Brookdale Hospital Medical Center | Current | Accepting new patients | |
| The Brookdale Hospital Medical Center | Current | Accepting new patients | |
| Brookdale Family Care Center, Inc. | Current | Accepting new patients | |
| Urban Strategies Brookdale Family Care Center Inc | Current | Accepting new patients | |
| Advanced Podiatry of Manhasset, PLLC | Foot & Ankle Surgery | Current | 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.
-
- Foot & Ankle Surgery Podiatrist
- Manhasset, NY
- NPI 1669626370
-
- Foot Surgery Podiatrist
- Rockville Centre, NY
- NPI 1063168920
Foot & Ankle Surgery
-
- Allergy Physician
- Brooklyn, NY
- NPI 1457643991
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1962459644
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1720028772
-
- Multi-Specialty Clinic/Center
- Brooklyn, NY
- NPI 1104112838
-
- Family Medicine Physician
- Brooklyn, NY
- NPI 1215984422
-
- Foot & Ankle Surgery Podiatrist
- West Babylon, NY
- NPI 1063074565
-
- Foot & Ankle Surgery Podiatrist
- New York, NY
- NPI 1952553372
-
- Clinic/Center
- Brooklyn, NY
- NPI 1285758771
-
- Emergency Medicine Physician
- Brooklyn, NY
- NPI 1770844797
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Brooklyn, NY
- NPI 1639756406
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1346380870
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1356307656
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1487724712
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Brooklyn, NY
- NPI 1639756406
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.