Active NPI
Noel K Miller
- Social Worker
- Bronx, NY
National Provider Identifier
1003272766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 072575-1
- Practice address
- 2415 Westchester Ave
Bronx, NY 10461-3538 - Phone
- (718) 863-4100
- Fax
- (718) 863-5165
- NPI assigned
- Jan 11, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 072575-1 | NY | Primary |
Addresses
Primary practice location
2415 Westchester Ave
Bronx, NY 10461-3538
Mailing address
2415 Westchester Ave
Bronx, NY 10461-3538
Phone (718) 863-4100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6313 | Other | NY | PIBLY RESIDENTIAL PROGRAMS |
Other names 1
- Noel K Miller
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 072575-1 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452470400000",
"number": "1003272766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2415 WESTCHESTER AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104613538",
"telephone_number": "718-863-4100",
"fax_number": "718-863-5165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2415 WESTCHESTER AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104613538",
"telephone_number": "718-863-4100",
"fax_number": "718-863-5165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "NOEL",
"middle_name": "K",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-01-11",
"last_updated": "2016-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "072575-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PIBLY RESIDENTIAL PROGRAMS",
"identifier": "6313",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "NOEL",
"last_name": "MILLER",
"middle_name": "K",
"credential": "MPS; MBA;LMSW",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.