Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Miriam Enock

Individual provider Medical Physician Assistant · NPI 1447621909

Miriam Enock is a Physician Assistant in Newark, New Jersey. Qualified in 2014, 12 years ago. Practices with Optum Medical Care of New Jersey PC, a 175-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
12
Licensed in
NJ
In the registry since
2015
Specialties on file
3
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Practice location Address checks out

205 S Orange Ave Ste A-1020
Newark, NJ 07103-2785
Phone: (973) 972-3066
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 25MP00368500 (NJ)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 25MP00368500 (NJ)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 25MP00368500 (NJ)

Record details

NPI number1447621909
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 9, 2015
Last updated in NPPESFebruary 15, 2021
Certification dateFebruary 15, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Optum Medical Care Of New Jersey Pc — 175 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Newark