1. Home
  2. Directory
  3. New Jersey
  4. Nutley
  5. Physician Assistant
  6. NPI Profile

EMMA ELAINE MIRCOVICH PA-C
NPI 1982590238
Physician Assistant in Nutley, NJ

Active since June 14, 2025PECOS EnrolledAccepts Medicare Assignment
123 METRO BLVD, NUTLEY, NJ 07110(862) 660-5000 Get Directions Write a Review

NPPES record last updated: June 14, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Emma Elaine Mircovich Pa-c NPPES

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

EMMA ELAINE MIRCOVICH PA-C (NPI 1982590238) is an individual physician assistant in Nutley, New Jersey and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS, is affiliated with Staten Island University Hospital, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1982590238
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameEMMA ELAINE MIRCOVICHCredential: PA-C
Location Address123 METRO BLVDNutley, NJ 07110-6101
Mailing Address123 Metro BlvdNutley, NJ 07110-6101 · (862) 660-5000
Phone(862) 660-5000
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJune 14, 2025
NPPES CertifiedJune 14, 2025
✔ NPI 1982590238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
123 METRO BLVD, Nutley, NJ 07110
Open in Google Maps ↗

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

Emma Elaine Mircovich Pa-c 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 ID7113420373
PECOS Enrollment IDI20250912001722
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Staten Island University Hospital

Acute Care Hospitals · Staten Island, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330160
Location475 Seaview AvenueStaten Island, NY 10305 · Richmond County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07110 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
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
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.

MARTINA BINUMON JOHN
Physician Assistant
123 METRO BLVD
NUTLEY, NJ 07110
Essex County (973) 486-5982
COURTNEY BREINER
Student in an Organized Health Care Education/Training Program
123 METRO BLVD
NUTLEY, NJ 07110
Essex County (973) 542-6200
JULIANNE EIKE
Nurse Practitioner (Psychiatric/Mental Health)
123 METRO BLVD
NUTLEY, NJ 07110
Essex County (000) 000-0000
FREDERICK DURRANT MD
Student in an Organized Health Care Education/Training Program
123 METRO BLVD
NUTLEY, NJ 07110
Essex County (862) 660-5000
LEAH MICHELLE SMITH
Student in an Organized Health Care Education/Training Program
123 METRO BLVD
NUTLEY, NJ 07110
Essex County (973) 761-9000
MISS STEPHANIE LYNN MARZUCCO
Nurse Practitioner (Psychiatric/Mental Health)
123 METRO BLVD
NUTLEY, NJ 07110
Essex County (856) 217-5889
MEGAN GRACE HOLT PA
Physician Assistant
123 METRO BLVD
NUTLEY, NJ 07110
Essex County (973) 761-9000
AVI SLAVIN
Student in an Organized Health Care Education/Training Program
123 METRO BLVD
NUTLEY, NJ 07110
Essex County (862) 660-5000

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 Emma Mircovich's NPI number?

The NPI number for Emma Mircovich is 1982590238. It was assigned to this individual provider in the NPPES registry on June 14, 2025.

Where is Emma Mircovich located?

Emma Mircovich practices at 123 Metro Blvd, Nutley, NJ 07110. The listed phone number is (862) 660-5000.

What is Emma Mircovich's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Emma Mircovich enrolled in Medicare?

Yes. Emma Mircovich 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.

Is Emma Mircovich affiliated with any hospitals?

According to CMS data, Emma Mircovich is affiliated with Staten Island University Hospital.

When was this NPI record last updated?

The NPPES record for Emma Mircovich was last updated on June 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.