Miroslav Nerad

Primary specialty

Social WorkerTaxonomy code 104100000X

License

44SL06174100 Issued in NJ

Practice address

400 Fort Hill Ave BLDG 36
Canandaigua, NY 14424-1159

Phone

(585) 393-7455

NPI assigned

Dec 30, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1577664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577664000000",
    "number": "1801435573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5558 CENTERPOINTE BLVD APT 4",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144247811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 FORT HILL AVE BLDG 36",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144241159",
            "telephone_number": "585-393-7455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NERAD",
        "first_name": "MIROSLAV",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-30",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06174100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie E Myers, D.O.
• Linda Jeanne Najar
• Kwang-Joon Nam, M.D.
• Douglas Michael Nather, RN
• Kyle Nelson
• Jennifer Lynn Alice Netkin, NP-C
• Katelyn Cappotelli Nevin, MD
• Philip C Nevin, M.D.
• New York State
• Debra Grace Newcombe, LPN

• Social Worker in Canandaigua, NY
• Providers in Canandaigua, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2019; 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.