Individual provider Active NPI

Jeffrey A Miller, DO

  • Pulmonary Disease Physician
  • East Orange, NJ
National Provider Identifier
1184725897
Registry record updated Aug 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
MB53988 Issued in NJ
Practice address
60 Evergreen Place
Suite 400
East Orange, NJ 07018
Phone
(973) 395-1550
Fax
(973) 395-1556
NPI assigned
Sep 26, 2006
Last updated
Aug 21, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2020

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 MB53988 NJ Primary

Addresses

Primary practice location

60 Evergreen Place
Suite 400
East Orange, NJ 07018

Mailing address

21 Edgewood Road
Summit, NJ 07901
Phone (973) 395-1550

Other identifiers 1

IdentifierTypeStateIssuer
6171001MedicaidNJ

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
I20050104000661 NJ Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists)Practitioner - Internal Medicine 4082662341 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Heart Center of the OrangesGroup PAC ID 7517950645, 41 clinicians

Practice addresses (Care Compare)

6 Brighton Rd
Suite 106
Clifton, NJ 07012-1647
Phone (973) 272-6933

60 Evergreen PL
Suite 400
East Orange, NJ 07018-2120
Phone (973) 395-1550

60 Vose Ave
South Orange, NJ 07079-2026
Phone (973) 763-5200

92 Old Northfield Rd
West Orange, NJ 07052-5354
Phone (973) 736-5552

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MB53988NJMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
NJ Sleep Care LLC Pulmonary Disease CurrentSince Jun 1, 2012 Accepting new patients
The Heart Center of the Oranges CurrentSince Nov 19, 2007 Accepting new patients
The Heart Center of the Oranges Past Accepting new patients

Locations

6 Brighton Rd
Ste 106
Clifton, NJ 07012
Phone (973) 272-6933

310 Central Ave
Ste 102
East Orange, NJ 07018
Phone (973) 207-1678

60 Evergreen Pl
Ste 400
East Orange, NJ 07018

60 Vose Ave
South Orange, NJ 07079
Phone (973) 763-5200

77 Main St
West Orange, NJ 07052
Phone (973) 324-2090

92 Old Northfield Rd
West Orange, NJ 07052
Phone (973) 736-0885

Interoperability endpoints

  • Direct secure messaging: jmiller249375@epicdirect.rwjbh.org

Organizations & group practices 3

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 1

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597968000000",
    "number": "1184725897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 EDGEWOOD ROAD",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "07901",
            "telephone_number": "973-395-1550",
            "fax_number": "973-395-1556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 EVERGREEN PLACE",
            "address_2": "SUITE 400",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "07018",
            "telephone_number": "973-395-1550",
            "fax_number": "973-395-1556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JEFFREY",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "MB53988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6171001",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Orange, NJ

Sources for this page

Verify at the official NPI Registry.