Mrs. Gina M Miranda, PA-C
Physician Assistant in Lawrenceville, New Jersey
1477905925- Practice location
- 100 Federal City RD, Lawrenceville, NJ 08648-1664
- Phone
- 609-620-1380
- Fax
- —
- Last updated
- November 19, 2018
Gina Marie Miranda is a Physician Assistant based in Lawrenceville, NJ. Gina Marie Miranda practices in Lawrenceville, NJ and has the professional credentials of PA-C. The NPI Number for Gina Marie Miranda is 1477905925 and holds a License No. 25MP00399000 (NJ). The current practice location address for Gina Marie Miranda is 100 Federal City RD, Lawrenceville, NJ 08648-1664 and can be reached out via phone at 609-620-1380.
Provider Profile Details
- NPI Number
- 1477905925
- Provider Name
- Gina Marie Miranda
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 100 Federal City RD, Lawrenceville, NJ 08648-1664
- Phone Number
- 609-620-1380
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Other Names
- Ms. Gina Marie Mattiello, PA-C (Former Name)
- Provider Enumeration Date
- July 8, 2016
- Last Update Date
- November 19, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 100 Federal City RD
Lawrenceville, NJ 08648-1664 - City
- Lawrenceville
- State
- New Jersey
- Zip
- 08648-1664
- Phone Number
- 609-620-1380
Provider Business Mailing Address Details
- Address
- 8 Gorham CT
Jackson, NJ 08527-6324 - City
- Jackson
- State
- NJ
- Zip
- 08527-6324
License Information
- License Number
- 25MP00399000
- License State
- NJ
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mrs. Gina M Miranda, PA-C?
The NPI number of Mrs. Gina M Miranda, PA-C is 1477905925. It was assigned on July 8, 2016 and is currently active in the NPPES registry.
What is the specialty of Mrs. Gina M Miranda, PA-C?
Mrs. Gina M Miranda, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00399000.
Where does Mrs. Gina M Miranda, PA-C practice?
The practice location is 100 Federal City RD, Lawrenceville, NJ 08648-1664. The office can be reached at 609-620-1380 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1477905925 directly on the NPPES registry website.