Active NPI
Dr. Miller Pediatrics
- Pediatrics Physician
- Middletown, NY
National Provider Identifier
1053019299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- DR. MILLER PEDIATRICS
- Practice address
- 21 James P Kelly Way
Middletown, NY 10940-9465 - Phone
- (845) 645-2719
- NPI assigned
- Feb 17, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Miller
- Title
- MD
- Phone
- (845) 645-2719
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
21 James P Kelly Way
Middletown, NY 10940-9465
Mailing address
21 James P Kelly Way
Middletown, NY 10940-9465
Phone (845) 645-2719
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Rock Hill, NY
- NPI 1932433208
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676592000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1676592000000",
"number": "1053019299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 JAMES P KELLY WAY",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109409465",
"telephone_number": "845-645-2719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 JAMES P KELLY WAY",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109409465",
"telephone_number": "845-645-2719"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. MILLER PEDIATRICS",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-17",
"last_updated": "2023-02-17",
"certification_date": "2023-02-17",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "845-645-2719"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Middletown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.