DR. MIGUEL GIRON MD
NPI 1912927930
Emergency Medicine in Berkeley Heights, NJ

Active since July 20, 2006PECOS EnrolledAccepts Medicare Assignment
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922(908) 277-8880(908) 277-8796 Get Directions Write a Review

NPPES record last updated: November 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 4, 2025, Jul 19, 2018 (2 updates tracked since 2018).

About Dr. Miguel Giron Md NPPES

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

DR. MIGUEL GIRON MD (NPI 1912927930) is an individual emergency medicine provider in Berkeley Heights, New Jersey, licensed in New Jersey (25MA07351700) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Piscataway, and is a graduate of State University Of New York Downstate Medical Center (1995).

NPPES Registry Identity

NPI1912927930
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. MIGUEL GIRONCredential: MD
Location Address1 DIAMOND HILL RDBerkeley Heights, NJ 07922
Mailing Address331 Newman Springs Road, Bldg. 2, Suite 220Red Bank, NJ 07701 · (732) 807-0877 · Fax (201) 751-1680
Fax(908) 277-8796
Sole ProprietorNo
Medical School CMSState University Of New York Downstate Medical CenterGraduated 1995
Enumeration DateJuly 20, 2006
Last NPPES UpdateNovember 4, 20252 updates tracked since enumeration
NPPES CertifiedNovember 4, 2025
NPI 1912927930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in NJ · 25MA07351700
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1 DIAMOND HILL RD, Berkeley Heights, NJ 07922

Secondary Practice Location 1

Location 11080 Stelton RdPiscataway, NJ 08854-5201 · Phone (848) 230-6800 · Fax (848) 230-6803

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 and accepts Medicare assignment

Dr. Miguel Giron Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254235229
PECOS Enrollment IDI20031121000163
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.

Areas of Expertise CMS Part B claims 26

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
442 services428 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
142 services141 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
118 services115 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
101 services101 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
69 services68 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
55 services54 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07922 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Internal Medicine (Endocrinology, Diabetes & Metabolism)
1 DIAMOND HILL RD
BERKELEY HEIGHTS, NJ 07922
Internal Medicine (Nephrology)
1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP
BERKELEY HEIGHTS, NJ 07922
Physician Assistant
1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP
BERKELEY HEIGHTS, NJ 07922
Family Medicine
1 DIAMOND HILL RD
BERKELEY HEIGHTS, NJ 07922
Internal Medicine (Infectious Disease)
1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP
BERKELEY HEIGHTS, NJ 07922
Physical Therapist
1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP
BERKELEY HEIGHTS, NJ 07922
Internal Medicine
1 DIAMOND HILL RD
BERKELEY HEIGHTS, NJ 07922
Physician Assistant (Medical)
1 DIAMOND HILL RD
BERKELEY HEIGHTS, NJ 07922

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 Miguel Giron's NPI number?

The NPI number for Miguel Giron is 1912927930. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Miguel Giron located?

Miguel Giron practices at 1 Diamond Hill Rd, Berkeley Heights, NJ 07922. The listed phone number is (908) 277-8880.

What is Miguel Giron's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Miguel Giron enrolled in Medicare?

Yes. Miguel Giron is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Miguel Giron accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Miguel Giron 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 Miguel Giron was last updated on November 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.