Active NPIIndividual provider

Dr. Miranda C Maldonado, DNP, MSN

Nurse Practitioner, Psych/Mental Health in Suffern, New York

NPI Number1568197606
Practice location
400 Rella Blvd Ste 165, Suffern, NY 10901-4241
Fax
201-648-2667
Last updated
November 4, 2026

Miranda Carina Maldonado is a Nurse Practitioner, Psych/Mental Health based in Suffern, NY. Miranda Carina Maldonado practices in Suffern, NY and has the professional credentials of DNP, MSN. The NPI Number for Miranda Carina Maldonado is 1568197606 and holds a License No. 26NR22320100 (NJ). The current practice location address for Miranda Carina Maldonado is 400 Rella Blvd Ste 165, Suffern, NY 10901-4241 and can be reached out via phone at 845-259-6881 and via fax at 201-648-2667.

Provider Profile Details

NPI Number
1568197606
Provider Name
Miranda Carina Maldonado
Credential
DNP, MSN
Provider Entity Type
Individual
Gender
Female
Address
400 Rella Blvd Ste 165, Suffern, NY 10901-4241
Phone Number
845-259-6881
Fax Number
201-648-2667
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
No
Provider Enumeration Date
July 22, 2022
Last Update Date
November 4, 2026
Certification Date
November 4, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
400 Rella Blvd Ste 165
Suffern, NY 10901-4241
Zip
10901-4241
Phone Number
845-259-6881
Fax Number
201-648-2667
Suffern, NY 10901Get directions →

Provider Business Mailing Address Details

Address
210 River St Ste 24
Hackensack, NJ 07601-7504
City
Hackensack
State
NJ
Zip
07601-7504
Phone Number
551-298-6971

License Information

License Number (1)
26NR22320100
License State (1)
NJ
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (2)
F404269
License State (2)
NY
Taxonomy (2)
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
License Number (3)
26NJ15273700
License State (3)
NJ
Taxonomy (3)
Nurse Practitioner, Psych/Mental Health · 363LP0808X
License Number (4)
803946
License State (4)
NY
Taxonomy (4)
Registered Nurse · 163W00000X

Legacy Identifiers

IdentifierTypeStateIssuer
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 Dr. Miranda C Maldonado, DNP, MSN?

The NPI number of Dr. Miranda C Maldonado, DNP, MSN is 1568197606. It was assigned on July 22, 2022 and is currently active in the NPPES registry.

What is the specialty of Dr. Miranda C Maldonado, DNP, MSN?

Dr. Miranda C Maldonado, DNP, MSN is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in NJ under license number 26NR22320100.

Where does Dr. Miranda C Maldonado, DNP, MSN practice?

The practice location is 400 Rella Blvd Ste 165, Suffern, NY 10901-4241. The office can be reached at 845-259-6881 (phone) or 201-648-2667 (fax).

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 1568197606 directly on the NPPES registry website.

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