Individual provider Active NPI

Jeremy Adam Miles, MD

  • Cardiovascular Disease Physician
  • Hasbrouck Heights, NJ
National Provider Identifier
1114373917
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MA11682800 Issued in NJ
Practice address
777 Terrace Ave Ste 311
Hasbrouck Heights, NJ 07604-3112
Phone
(201) 288-4252
NPI assigned
May 11, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 300073 NY
Cardiovascular Disease Physician 207RC0000X 25MA11682800 NJ Primary

Addresses

Primary practice location

777 Terrace Ave Ste 311
Hasbrouck Heights, NJ 07604-3112

Mailing address

777 Terrace Ave Ste 311
Hasbrouck Heights, NJ 07604-3112
Phone (201) 288-4252

Other identifiers 1

IdentifierTypeStateIssuer
0902543MedicaidNJ

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
I20230517001155 NJ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0446588875 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Albert Einstein College of Medicine of Yeshiva University, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Associates of Englewood PCGroup PAC ID 1355512252, 538 clinicians

Practice addresses (Care Compare)

1225 McBride Ave
Suite 223
Woodland Park, NJ 07424-3812
Phone (973) 595-5345

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.09 of 100Reported as apm
Quality
86.89
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
300073NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates of Englewood, PC Internal Medicine CurrentSince Jul 1, 2023 Accepting new patients

Locations

180 Engle St
Englewood, NJ 07631
Phone (201) 567-2050

910 Sylvan Ave
Ste 210
Englewood Cliffs, NJ 07632
Phone (201) 408-6166

24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123

777 Terrace Ave
Ste 311
Hasbrouck Heights, NJ 07604
Phone (201) 288-4252

1225 McBride Ave
Ste 223
Woodland Park, NJ 07424
Phone (973) 595-5345

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: jmiles317877@direct.englewoodhealth.org

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1462924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1114373917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 TERRACE AVE STE 311",
            "city": "HASBROUCK HEIGHTS",
            "state": "NJ",
            "postal_code": "076043112",
            "telephone_number": "201-288-4252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 TERRACE AVE STE 311",
            "city": "HASBROUCK HEIGHTS",
            "state": "NJ",
            "postal_code": "076043112",
            "telephone_number": "201-288-4252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILES",
        "first_name": "JEREMY",
        "middle_name": "ADAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-11",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "300073",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA11682800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0902543",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hasbrouck Heights, NJ

Sources for this page

Verify at the official NPI Registry.