Individual provider Active NPI

Sheryl R Miller, MD

  • Dermatology Physician
  • Latham, NY
National Provider Identifier
1003999491
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
175633-01 Issued in NY
Practice address
711 Troy Schenectady Rd Ste 208
Latham, NY 12110-2461
Phone
(518) 783-8780
Fax
(518) 783-1587
NPI assigned
Oct 23, 2006
Last updated
Mar 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 175633-01 NY Primary

Addresses

Primary practice location

711 Troy Schenectady Rd Ste 208
Latham, NY 12110-2461

Mailing address

4700 Exchange CT Ste 110
Boca Raton, FL 33431-4450
Phone (561) 948-0291

Other practice location 1

90 South St Ste A
Glens Falls, NY 12801-4353
Phone (518) 783-8780

Other practice location 2

214 Mohawk Ave
Scotia, NY 12302-2129
Phone (917) 509-2582

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040716000525 NY Practitioner - Dermatology 3779562327 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
State University of New York Downstate Medical Center, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

214 Mohawk Ave
Scotia, NY 12302-2129
Phone (917) 509-2582

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions21
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
234407MAMDRegistered Nurse
175633-01NYMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Latham Dermatology, PLLC Dermatology CurrentSince Mar 1, 2026 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Jan 1, 2016 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Jan 1, 2016 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Oct 1, 2017 Accepting new patients
Icahn School of Medicine at Mount Sinai Dermatology CurrentSince Oct 1, 2017 Accepting new patients
Sheryl R Miller MD PLLC Dermatology CurrentSince Aug 1, 2019 Accepting new patients
Dr. Jeffrey M. Backer PastSince Feb 18, 2020 Accepting new patients
Adult & Pediatric Dermatology, P.C. Dermatology Past Accepting new patients
Beth Israel Medical Center Dermatology Past Accepting new patients
Sheryl R. Miller MD PC Dermatology Past Accepting new patients
St Lukes-Roosevelt Hospital Center Dermatology Past Accepting new patients

Locations

4700 Exchange Ct
Ste 110
Boca Raton, FL 33431
Phone (561) 223-8081

90 South St
Ste A
Glens Falls, NY 12801
Phone (518) 783-8780

711 Troy Schenectady Rd
Ste 208
Latham, NY 12110
Phone (518) 783-8780

10 Nathan D Perlman Pl
New York, NY 10003
Phone (212) 420-2124

10 Union Sq E
New York, NY 10003
Phone (212) 253-6800

10 Union Sq E
Ste 3C
New York, NY 10003
Phone (212) 844-8800

1090 Amsterdam Ave
#11D
New York, NY 10025
Phone (212) 523-3884

150 E 42nd St
Fl 10
New York, NY 10017
Phone (646) 605-8119

200 W 57th St
Fl 15
New York, NY 10019
Phone (212) 247-8100

5 E 98th St
Fl 5
New York, NY 10029
Phone (212) 241-8234

214 Mohawk Ave
Scotia, NY 12302
Phone (518) 377-4431

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1003999491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 EXCHANGE CT STE 110",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334314450",
            "telephone_number": "561-948-0291",
            "fax_number": "561-859-0429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 TROY SCHENECTADY RD STE 208",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102461",
            "telephone_number": "518-783-8780",
            "fax_number": "518-783-1587"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "90 South St Ste A",
            "address_purpose": "LOCATION",
            "city": "Glens Falls",
            "state": "NY",
            "postal_code": "128014353",
            "country_code": "US",
            "telephone_number": "518-783-8780",
            "fax_number": "518-783-1587",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "214 Mohawk Ave",
            "address_purpose": "LOCATION",
            "city": "Scotia",
            "state": "NY",
            "postal_code": "123022129",
            "country_code": "US",
            "telephone_number": "917-509-2582",
            "fax_number": "518-377-0415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "SHERYL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "175633-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Latham, NY

Sources for this page

Verify at the official NPI Registry.