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
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

205 S Orange Ave Ste A-1020
Newark, NJ 07103-2785
Phone: (973) 972-3066
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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
Mailing address205 S Orange Ave, Suite A-1020, Newark, NJ 07103-2785

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