Individual provider Active NPI

Richard A. Miller, M.D.

  • Pulmonary Disease Physician
  • Newark, NJ
National Provider Identifier
1124109319
Registry record updated Nov 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
MA049101 Issued in NJ
Practice address
268 -306 Martin Luther King Blvd
Newark, NJ 07102
Phone
(973) 877-5493
Fax
(973) 877-2993
NPI assigned
Oct 17, 2006
Last updated
Nov 4, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X MA049101 NJ Primary

Addresses

Primary practice location

268 -306 Martin Luther King Blvd
Newark, NJ 07102

Mailing address

268 -306 Martin Luther King Blvd
Newark, NJ 07102
Phone (973) 877-5493

Other identifiers 1

IdentifierTypeStateIssuer
4520807MedicaidNJ

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
I20100610000322 NJ Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 6305981382 Reassigns benefits to 2 organizations
Practice locations: Orange, NJ; Newark, NJ; Montclair, NJ; Glen Ridge, NJ

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Avenue Professional Services, PCGroup PAC ID 7214258003, 49 clinicians
Pulmonary and Critical Care AssociatesGroup PAC ID 8426189747, 2 clinicians

Practice addresses (Care Compare)

111 Central Ave
Newark, NJ 07102-1909
Phone (973) 877-5300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
24.91 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
83.04

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Central Avenue Professional Services, PC CurrentSince Feb 27, 2017 Accepting new patients
Pulmonary & Critical Care Associates Pulmonary Disease CurrentSince Jul 18, 1991 Accepting new patients

Locations

123 Highland Ave
Glen Ridge, NJ 07028
Phone (973) 746-7474

1 Bay Ave
Montclair, NJ 07042
Phone (973) 429-6100

111 Central Ave
Newark, NJ 07102
Phone (973) 877-5060

111 Central Ave
#1
Newark, NJ 07102

268 Dr Martin Luther King Jr Blvd
Newark, NJ 07102
Phone (973) 678-5700

268 Mlk Jr Blvd
Newark, NJ 07102
Phone (973) 877-2580

268 Mlk Jr Blvd
#1
Newark, NJ 07102

495 N 13th St
Newark, NJ 07107
Phone (973) 268-1400

135 S Center St
Orange, NJ 07050
Phone (973) 266-3000

350 Boulevard
Passaic, NJ 07055
Phone (973) 365-4300

Organizations & group practices 2

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.

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415059200000",
    "number": "1124109319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "268 -306 MARTIN LUTHER KING BLVD",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "07102",
            "telephone_number": "973-877-5493",
            "fax_number": "973-877-2993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 -306 MARTIN LUTHER KING BLVD",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "07102",
            "telephone_number": "973-877-5493",
            "fax_number": "973-877-2993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "RICHARD",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2014-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "MA049101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4520807",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

Verify at the official NPI Registry.