MIKE MIRON M.D.P.C. NPI 1679870083

NPI Information

  • NPI: 1679870083
  • Provider Name: MIKE MIRON, M.D.,P.C.
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 40-04 KILADA CT
    FAIR LAWN, NJ
    ZIP 07410
  • Phone: (201) 791-1178

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NPI Details

MIKE MIRON, M.D.,P.C. is a specialist in Fair Lawn, NJ. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MIKE MIRON, M.D.,P.C. NPI is 1679870083. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

40-04 KILADA CT
FAIR LAWN, NJ
ZIP 07410-342
Phone: (201) 791-1178
Fax: (201) 791-6226

The provider's authorized official is Mike Miron .
The authorized official title is President and has the following contact phone number (201) 791-1178.

The enumeration date for this NPI number is 2/21/2011 and was last updated on 2/21/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist25MA04779200NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
101026195MEDICAIDNEW YORK
2455545MEDICARE PINNEW JERSEY
31974807MEDICAIDNEW JERSEY
41356425128OTHERNPI FOR INDIVIDUAL PRACTITIONER MIKE MIRON,MD USED BY ALL INSURANCES
500E531MEDICARE PINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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