MIRYAM QUINN DOBLAS PA-C
NPI 1164903084
Physician Assistant - Medical in Bayonne, NJ

Active since August 28, 2018PECOS Enrolled
564 BROADWAY, BAYONNE, NJ 07002(201) 468-8888(201) 455-3083 Get Directions Write a Review

NPPES record last updated: March 25, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 25, 2021, Aug 28, 2018 (2 updates tracked since 2018).

About Miryam Quinn Doblas Pa-c NPPES

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

MIRYAM QUINN DOBLAS PA-C (NPI 1164903084) is an individual medical provider in Bayonne, New Jersey, licensed in New Jersey (25MP00485600) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1164903084
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMIRYAM QUINN DOBLASCredential: PA-C
Location Address564 BROADWAYBayonne, NJ 07002
Mailing Address564 BroadwayBayonne, NJ 07002-8828 · (201) 468-8888 · Fax (201) 455-3083
Fax(201) 455-3083
Sole ProprietorNo
Enumeration DateAugust 28, 2018
Last NPPES UpdateMarch 25, 20212 updates tracked since enumeration
NPPES CertifiedMarch 25, 2021
NPI 1164903084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in NJ · 25MP00485600
Also ListedPhysician AssistantTaxonomy 363A00000X · License 25MP00485600 (NJ)
564 BROADWAY, Bayonne, NJ 07002

Secondary Practice Locations 2

Location 118 Lyons MallBasking Ridge, NJ 07920-1928 · Phone (908) 760-8888
Location 2852 Route 3Clifton, NJ 07012-2343 · Phone (973) 450-1991 · Fax (973) 528-8009

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Miryam Quinn Doblas Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 8

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

Internal Medicine (Hematology & Oncology)
564 BROADWAY
BAYONNE, NJ 07002
Clinic/Center (Ambulatory Family Planning Facility)
564 BROADWAY, 2ND FLOOR
BAYONNE, NJ 07002
Physical Therapist
564 BROADWAY, SUITE 2A
BAYONNE, NJ 07002
Clinic/Center (Urgent Care)
564 BROADWAY
BAYONNE, NJ 07002
Clinic/Center (Urgent Care)
564 BROADWAY
BAYONNE, NJ 07002
Internal Medicine
564 BROADWAY
BAYONNE, NJ 07002
Specialist
564 BROADWAY, SUITE 102
BAYONNE, NJ 07002
Internal Medicine (Gastroenterology)
564 BROADWAY
BAYONNE, NJ 07002

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 Miryam Quinn Doblas's NPI number?

The NPI number for Miryam Quinn Doblas is 1164903084. It was assigned to this individual provider in the NPPES registry on August 28, 2018.

Where is Miryam Quinn Doblas located?

Miryam Quinn Doblas practices at 564 Broadway, Bayonne, NJ 07002. The listed phone number is (201) 468-8888.

What is Miryam Quinn Doblas's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Miryam Quinn Doblas enrolled in Medicare?

Yes. Miryam Quinn Doblas is registered in the Medicare PECOS enrollment system.

What insurance does Miryam Quinn Doblas accept?

Health plans from Providence Health Plan list Miryam Quinn Doblas as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Miryam Quinn Doblas was last updated on March 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.