Individual provider Active NPI

Janine Miglino, RN, CPNP

  • Pediatric Nurse Practitioner
  • Farmingdale, NY
National Provider Identifier
1902032113
Registry record updated Apr 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
F381891-1 Issued in NY
Practice address
850 Fulton St Ste 4
Farmingdale, NY 11735-3601
Phone
(516) 454-8525
NPI assigned
Jun 2, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 381891 NY
Pediatric Nurse Practitioner 363LP0200X F381891-1 NY Primary

Addresses

Primary practice location

850 Fulton St Ste 4
Farmingdale, NY 11735-3601

Mailing address

20 Lagoon Blvd
Massapequa, NY 11758-8042
Phone (516) 524-6478

Other practice location 1

1111 Montauk Hwy
Suite 104
West Islip, NY 11795-4910
Phone (631) 661-2510

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL Janine.miglino@sbcm.cernerdirect.com
CONNECT URL Janine.miglino@sbcm.cernerdirect.com

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190621002465 NY Practitioner - Nurse Practitioner 2466786694 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Pediatric Nurse Practitioner, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
381891NYMDPediatric Nurse Practitioner
F381891-1NYMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Stony Brook Children'S Service, University Faculty Practice Corporatio CurrentSince Jun 1, 2019 Accepting new patients
Stony Brook Internists, University Faculty Practice Corporation PastSince Jun 1, 2019 Accepting new patients

Locations

850 Fulton St
Ste 4
Farmingdale, NY 11735
Phone (516) 454-8525

2701 Sunrise Hwy
Islip Terrace, NY 11752
Phone (631) 444-6300

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: janine.miglino@sbcm.cernerdirect.com

Organizations & group practices 2

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": "1243900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651190400000",
    "number": "1902032113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 LAGOON BLVD",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117588042",
            "telephone_number": "516-524-6478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 FULTON ST STE 4",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117353601",
            "telephone_number": "516-454-8525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 Montauk Hwy",
            "address_2": "Suite 104",
            "address_purpose": "LOCATION",
            "city": "West Islip",
            "state": "NY",
            "postal_code": "117954910",
            "country_code": "US",
            "telephone_number": "631-661-2510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIGLINO",
        "first_name": "JANINE",
        "name_prefix": "Mrs.",
        "credential": "RN, CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-02",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "381891",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "F381891-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Janine.miglino@sbcm.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Janine.miglino@sbcm.cernerdirect.com",
            "address_1": "850 Fulton St Ste 4",
            "city": "Farmingdale",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117353601",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Janine.miglino@sbcm.cernerdirect.com",
            "affiliation": "N",
            "address_1": "850 Fulton St Ste 4",
            "city": "Farmingdale",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117353601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Farmingdale, NY

Sources for this page

Verify at the official NPI Registry.