Quashon John Miller

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

1037048 Issued in NY

Practice address

1355 E 94TH St PH PH
Brooklyn, NY 11236-4803

Phone

(929) 620-0470

NPI assigned

May 1, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Quashon Miller Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1104514785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 E 94TH ST PH PH",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112364803",
            "telephone_number": "929-620-0470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 E 94TH ST PH PH",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112364803",
            "telephone_number": "929-620-0470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "QUASHON",
        "middle_name": "JOHN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NY",
            "license": "4339330",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NY",
            "license": "1037048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "QUASHON",
            "last_name": "MILLER",
            "credential": "NUTRITIONIST",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Omar Flanigan Miller, LICENSED PRACTICAL N
• Patrice Miller
• Patricia Miller, LPN
• Patricia Merline Miller
• Patrick Miller, CRNA
• Regina Miller, M.D.
• Reisa Miller, SCHOOL PSYCHOLOGIST
• Roberta Miller
• Rose Hannah Miller, PH.D.
• Rosemary Theresa Miller, LMSW

• In Home Supportive Care Agency in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• In Home Supportive Care Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.

Verify at the official NPI Registry.