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JESUS C MIRANDA M.D.
NPI 1144335068
Specialist in Brooklyn, NY

Active since August 20, 2006
63 PENNSYLVANIA AVE, BROOKLYN, NY 11207(718) 345-9000(718) 485-3860 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jesus C Miranda M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESUS C MIRANDA M.D. (NPI 1144335068) is an individual specialist in Brooklyn, New York, licensed in New York (157910) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1144335068
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameJESUS C MIRANDACredential: M.D.
Location Address63 PENNSYLVANIA AVEBrooklyn, NY 11207-2405
Mailing Address184 Sterling PlBrooklyn, NY 11217-3307 · (718) 783-6860 · Fax (718) 783-6861
Phone(718) 345-9000
Fax(718) 485-3860
Sole ProprietorYes
Enumeration DateAugust 20, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1144335068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 157910
Definition
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.
63 PENNSYLVANIA AVE, Brooklyn, NY 11207
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Other Identifiers 3

Medicaid00864225NY
Medicare UPINA62160NY
Medicare ID-Type Unspecified32D783NY

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NEPHROLOGY FOUNDATION OF BROOKLYN
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
63 PENNSYLVANIA AVE
BROOKLYN, NY 11207
Kings County (718) 345-9000
DR. CLARENCE L WALTROUS JR. M.D.
Internal Medicine (Nephrology)
63 PENNSYLVANIA AVE
BROOKLYN, NY 11207
Kings County (646) 317-0720

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jesus Miranda's NPI number?

The NPI number for Jesus Miranda is 1144335068. It was assigned to this individual provider in the NPPES registry on August 20, 2006.

Where is Jesus Miranda located?

Jesus Miranda practices at 63 Pennsylvania Ave, Brooklyn, NY 11207. The listed phone number is (718) 345-9000.

What is Jesus Miranda's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Jesus Miranda was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.