Individual provider Active NPI

Cristina Miceli, D.O.

  • Obstetrics & Gynecology Physician
  • Hoboken, NJ
National Provider Identifier
1811420110
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MB11199200 Issued in NJ
Practice address
609 Washington St FL 2
Hoboken, NJ 07030-4907
Phone
(201) 659-7700
NPI assigned
Apr 4, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 25MB11199200 NJ Primary

Addresses

Primary practice location

609 Washington St FL 2
Hoboken, NJ 07030-4907

Mailing address

609 Washington St FL 2
Hoboken, NJ 07030-4907
Phone (201) 659-7700

Other practice location 1

201 Palisade Ave
Jersey City, NJ 07306-1112
Phone (201) 963-2200

Other identifiers 1

IdentifierTypeStateIssuer
0811467MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211109000240 NJ Practitioner - Obstetrics/Gynecology 3476942731 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Rowan University School of Osteopathic Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Associates of Englewood PCGroup PAC ID 1355512252, 538 clinicians

Practice addresses (Care Compare)

201 Palisade Ave
Jersey City, NJ 07306-1112
Phone (201) 963-2200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.09 of 100Reported as apm
Quality
86.89
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
25MB11199200NJMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates of Englewood, PC CurrentSince Sep 1, 2021 Accepting new patients
Physician Partners of Englewood, PC Obstetrics & Gynecology PastSince Jan 14, 2024 Accepting new patients
Englewood Hospital and Medical Center Past Accepting new patients

Locations

968 River Rd
Ste 203
Edgewater, NJ 07020
Phone (201) 224-8328

350 Engle St
Englewood, NJ 07631
Phone (201) 871-6073

180 Engle St
Englewood, NJ 07631
Phone (201) 567-2050

22-02 Broadway
Ste 301
Fair Lawn, NJ 07410
Phone (201) 414-5016

24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123

609 Washington St
#2
Hoboken, NJ 07030
Phone (201) 659-7700

609 Washington St
Hoboken, NJ 07030
Phone (201) 659-7700

201 Palisade Ave
Jersey City, NJ 07306
Phone (201) 795-8377

1265 Paterson Plank Rd
Ste 3D
Secaucus, NJ 07094
Phone (201) 864-4442

Interoperability endpoints

  • Direct secure messaging: cmiceli291869@direct.englewoodhealth.org

Organizations & group practices 3

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 1

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": "1491264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1811420110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 WASHINGTON ST FL 2",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070304907",
            "telephone_number": "201-659-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 WASHINGTON ST FL 2",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070304907",
            "telephone_number": "201-659-7700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Palisade Ave",
            "address_purpose": "LOCATION",
            "city": "Jersey City",
            "state": "NJ",
            "postal_code": "073061112",
            "country_code": "US",
            "telephone_number": "201-963-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MICELI",
        "first_name": "CRISTINA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-04",
        "last_updated": "2024-01-08",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MB11199200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0811467",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoboken, NJ

Sources for this page

Verify at the official NPI Registry.