Individual provider Active NPI

Miwa Fujiwara, M,D,

  • Specialist
  • Amityville, NY
National Provider Identifier
1821252024
Registry record updated Apr 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
283765 Issued in NY
Practice address
317 Broadway Ste a
Amityville, NY 11701-2770
Phone
(631) 598-5864
Fax
(631) 598-5866
NPI assigned
Jul 16, 2008
Last updated
Apr 24, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 283765 NY Primary

Addresses

Primary practice location

317 Broadway Ste a
Amityville, NY 11701-2770

Mailing address

317 Broadway Ste a
Amityville, NY 11701-2770
Phone (631) 598-5864

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161129000386 NY Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 0446530943 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Amityville Pulmonology PLLCGroup PAC ID 2567471139, 11 clinicians

Practice addresses (Care Compare)

317 Broadway
Suite a
Amityville, NY 11701-2770
Phone (631) 598-5864

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.48 of 100Reported as group
Quality
44.32
Improvement activities
40
Cost
69.51

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
283765NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Amityville Pulmonology PLLC CurrentSince Aug 15, 2016 Accepting new patients

Locations

317 Broadway
Ste A
Amityville, NY 11701
Phone (631) 598-5864

4295 Hempstead Tpke
Bethpage, NY 11714
Phone (516) 520-2250

340 E Montauk Hwy
East Islip, NY 11730
Phone (631) 226-8600

546 Montauk Hwy
West Islip, NY 11795
Phone (631) 598-5864

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1216166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461456000000",
    "number": "1821252024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 BROADWAY STE A",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012770",
            "telephone_number": "631-598-5864",
            "fax_number": "631-598-5866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 BROADWAY STE A",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012770",
            "telephone_number": "631-598-5864",
            "fax_number": "631-598-5866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUJIWARA",
        "first_name": "MIWA",
        "credential": "M,D,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-16",
        "last_updated": "2016-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "283765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amityville, NY

Sources for this page

Verify at the official NPI Registry.