Tyler J Miranda (NPI# 1760894125, PAC ID# 5597068916) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1760894125 |
| PAC ID by PECOS | 5597068916 |
| Professional Enrollment ID | I20160119002130 |
| Full Name | Tyler J Miranda |
| Organization Legal Name | ASSOCIATED PODIATRY OF ROSLYN PLLC. |
| Address |
2110 Northern Blvd Suite 208 Manhasset NY 11030-3500 |
| Phone Number | 5168693300 |
| Gender | M |
| Medical School | NEW YORK UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 6406917343 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330201 | KINGSBROOK JEWISH MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 12073 Flatlands Ave, Brooklyn, NY 11207-8306 | 7186422088 | STARRETT PODIATRY LLC |
| 2554 Linden Blvd, Brooklyn, NY 11208-4904 | 7182405132 | BROOKDALE FAMILY CARE CENTERS INC |
| 465 New Lots Ave, Brooklyn, NY 11207-6414 | 7182405133 | BROOKDALE FAMILY CARE CENTERS INC |
| 585 Schenectady Ave, Brooklyn, NY 11203-1822 | 7186045000 | KINGSBROOK MEDICAL ASSOCIATES PC |
| 2110 Northern Blvd, Suite 208, Manhasset, NY 11030-3500 | 5168693300 | ASSOCIATED PODIATRY OF ROSLYN PLLC. |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | ASSOCIATED PODIATRY OF ROSLYN PLLC. |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shabana Chowdhury-britto | Podiatry | Associated Podiatry of Roslyn Pllc. | 2110 Northern Blvd, Suite 208, Manhasset, NY 11030-3500 |
| Street Address |
2110 NORTHERN BLVD SUITE 208 |
| City | MANHASSET |
| State | NY |
| Zip | 11030-3500 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shabana Chowdhury-britto | Podiatry | Associated Podiatry of Roslyn Pllc. | 2110 Northern Blvd, Suite 208, Manhasset, NY 11030-3500 |
| Melvin L Wiedman | Cardiovascular Disease (cardiology) | 2110 Northern Blvd, Suite 205, Manhasset, NY 11030-3500 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Lerner | Diagnostic Radiology | 37 Valley Rd, Manhasset, NY 11030-1441 | |
| Anna K Imperato | Rheumatology | 19 Orchard St, Suite 1, Manhasset, NY 11030-1921 | |
| Peter J Lacorte | Optometry | 433 Plandome Rd, Manhasset, NY 11030-1942 | |
| Charles B Beasley | Psychiatry | 565 Plandome Rd, Suite 169, Manhasset, NY 11030-1945 | |
| Ilan J Safir | Urology | Integrated Medical Professionals Pllc | 535 Plandome Rd, Suite 3, Manhasset, NY 11030-1961 |
| Gary Goldberg | Urology | Integrated Medical Professionals Pllc | 535 Plandome Rd, Suite 3, Manhasset, NY 11030-1961 |
| Sarah K Girardi | Urology | Integrated Medical Professionals Pllc | 535 Plandome Rd, Suite 3, Manhasset, NY 11030-1961 |
| Dennis Lynch | Physician Assistant | Integrated Medical Professionals Pllc | 535 Plandome Rd, Suite 3, Manhasset, NY 11030-1961 |
| Felix L Badillo | Urology | Integrated Medical Professionals Pllc | 535 Plandome Rd, Suite 3, Manhasset, NY 11030-1961 |
| Anthony L Luciano | Internal Medicine | 450 Plandome Rd, Suite 2, Manhasset, NY 11030-1962 | |
| Find all physicians in zip 11030 | |||
| City | MANHASSET |
| Zip Code | 11030 |
| Specialty | PODIATRY |
| City + Specialty | MANHASSET + PODIATRY |
Please comment or provide details below to improve the information on Tyler J Miranda.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.