Individual provider Active NPI

Janeen Miraglia, DO

  • Internal Medicine Physician
  • Staten Island, NY
National Provider Identifier
1891947412
Registry record updated Jul 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
257127-1 Issued in NY
Practice address
2710 Hylan Blvd
Staten Island, NY 10306
Phone
(718) 489-3551
NPI assigned
Oct 14, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MB08766000 NJ
Pediatrics Physician 208000000X 25MB08766000 NJ
Internal Medicine Physician 207R00000X 257127-1 NY Primary

Addresses

Primary practice location

2710 Hylan Blvd
Staten Island, NY 10306

Mailing address

1345 RXR PLZ FL 13
Uniondale, NY 11556-1301

Other practice location 1

1910 Highway 35
Oakhurst, NJ 07755-2715
Phone (732) 531-0100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110606000573 NJ Practitioner - Internal Medicine 6002093788 Reassigns benefits to 1 organization
I20170602000561 NY Practitioner - Internal Medicine 6002093788 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City Medical of Upper East Side PLLCGroup PAC ID 0648465039, 658 clinicians

Practice addresses (Care Compare)

2710 Hylan Blvd
Staten Island, NY 10306-4658
Phone (718) 489-3551

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
257127-1NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group PA CurrentSince Aug 12, 2019 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince May 18, 2017 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince May 18, 2017 Accepting new patients
Summit Medical Group PA CurrentSince Aug 12, 2019 Accepting new patients
City Medical of Upper East Side, PLLC Current Accepting new patients

Locations

1 Diamond Hill Rd
Berkeley Heights, NJ 07922
Phone (908) 277-8868

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

282 E Route 4
Paramus, NJ 07652
Phone (551) 222-0800

3111 Steinway St
Astoria, NY 11103
Phone (718) 475-2345

7425 Grand Ave
Elmhurst, NY 11373
Phone (718) 478-8400

336 E 86th St
New York, NY 10028
Phone (212) 772-3627

2710 Hylan Blvd
Staten Island, NY 10306
Phone (718) 489-3551

1345 Rxr Plz
Fl 13
Uniondale, NY 11556
Phone (516) 453-0435

1345 Rxr Plz
Uniondale, NY 11556
Phone (516) 453-0435

Interoperability endpoints

  • Direct secure messaging: janeen.miraglia.2@2983.direct.athenahealth.com
  • Direct secure messaging: janeen.miraglia.1@2983.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1223942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1891947412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 RXR PLZ FL 13",
            "city": "UNIONDALE",
            "state": "NY",
            "postal_code": "115561301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 HYLAN BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10306",
            "telephone_number": "718-489-3551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1910 Highway 35",
            "address_purpose": "LOCATION",
            "city": "Oakhurst",
            "state": "NJ",
            "postal_code": "077552715",
            "country_code": "US",
            "telephone_number": "732-531-0100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIRAGLIA",
        "first_name": "JANEEN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-14",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MB08766000",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MB08766000",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "257127-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.