Active NPI
Annie L Miranda, M.D.
- Pediatric Emergency Medicine (Pediatrics) Physician
- Hopewell Junction, NY
National Provider Identifier
1851345102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Emergency Medicine (Pediatrics) Physician
- License
- 210185
- Practice address
- 1989 Route 52
Suite 3
Hopewell Junction, NY 12533-3533 - Phone
- (845) 897-4500
- Fax
- (845) 897-4550
- NPI assigned
- May 20, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Emergency Medicine (Pediatrics) Physician | 2080P0204X | 210185 | NY | Primary |
Addresses
Primary practice location
1989 Route 52
Suite 3
Hopewell Junction, NY 12533-3533
Mailing address
1989 Route 52
Suite 3
Hopewell Junction, NY 12533-3533
Phone (845) 897-4500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01990692 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 210185 | NY | MD | Pediatric Emergency Medicine (Pediatrics) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PM Pediatrics of Bayside, PLLC | Past | Accepting new patients | |
| Night Lite Pediatric Center, LLC | Past | Accepting new patients | |
| PM Pediatrics PC | Past | Accepting new patients | |
| Express Pediatrics: Walk in Urgent Care for Children, PLLC | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Urgent Care Clinic/Center
- Hopewell Junction, NY
- NPI 1760659015
-
- Specialist
- Bayside, NY
- NPI 1861700353
-
- Urgent Care Clinic/Center
- Syosset, NY
- NPI 1730212390
-
- Pediatrics Physician
- Apopka, FL
- NPI 1407974579
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339372800000",
"number": "1851345102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1989 ROUTE 52",
"address_2": "SUITE 3",
"city": "HOPEWELL JUNCTION",
"state": "NY",
"postal_code": "125333533",
"telephone_number": "845-897-4500",
"fax_number": "845-897-4550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1989 ROUTE 52",
"address_2": "SUITE 3",
"city": "HOPEWELL JUNCTION",
"state": "NY",
"postal_code": "125333533",
"telephone_number": "845-897-4500",
"fax_number": "845-897-4550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRANDA",
"first_name": "ANNIE",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-20",
"last_updated": "2012-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0204X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Emergency Medicine",
"state": "NY",
"license": "210185",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01990692",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hopewell Junction, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.