Healthcare Provider Details

I. General information

NPI: 1801898317
Provider Name (Legal Business Name): JOSEPH D. MIGLIACCIO D.P.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 08/15/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

357 MIDLAND AVE
GARFIELD NJ
07026-1654
US

IV. Provider business mailing address

357 MIDLAND AVE
GARFIELD NJ
07026-1654
US

V. Phone/Fax

Practice location:
  • Phone: 973-772-6100
  • Fax: 973-546-5459
Mailing address:
  • Phone: 973-772-6100
  • Fax: 973-546-5459

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberMD002283
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License NumberMD002283
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: