Individual provider Active NPI

Lincoln Miller, MD

  • Infectious Disease Physician
  • West Orange, NJ
National Provider Identifier
1073574661
Registry record updated Jun 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
25MA06528400 Issued in NJ
Practice address
1500 Pleasant Valley Way
Suite 201
West Orange, NJ 07052-2956
Phone
(973) 966-6400
Fax
(973) 514-1587
NPI assigned
Mar 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 25MA06528400 NJ Primary

Addresses

Primary practice location

1500 Pleasant Valley Way
Suite 201
West Orange, NJ 07052-2956

Mailing address

PO Box 1268
Madison, NJ 07940-8268
Phone (973) 966-6400

Other identifiers 1

IdentifierTypeStateIssuer
7230800MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20080502000381 NJ Practitioner - Infectious DiseasePractitioner - Internal Medicine 7214016179 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1500 Pleasant Valley Way
Suite 206
West Orange, NJ 07052-2956
Phone (973) 966-6400

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lincoln P Miller MD LLC Infectious Disease CurrentSince Jul 21, 2003 Accepting new patients

Locations

1500 Pleasant Valley Way
Ste 201
West Orange, NJ 07052
Phone (973) 731-6600

1500 Pleasant Valley Way
Ste 302
West Orange, NJ 07052
Phone (973) 324-0988

1500 Pleasant Valley Way
Ste 206
West Orange, NJ 07052
Phone (973) 324-0988

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308182400000",
    "number": "1073574661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1268",
            "city": "MADISON",
            "state": "NJ",
            "postal_code": "079408268",
            "telephone_number": "973-966-6400",
            "fax_number": "973-514-1587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 PLEASANT VALLEY WAY",
            "address_2": "SUITE 201",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522956",
            "telephone_number": "973-966-6400",
            "fax_number": "973-514-1587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "LINCOLN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2011-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NJ",
            "license": "25MA06528400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7230800",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

Verify at the official NPI Registry.