Individual provider Active NPI

Tiana Dior Miller, WHNP

  • Women's Health Nurse Practitioner
  • Glendale, NY
National Provider Identifier
1205588969
Registry record updated Jan 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
F421521-01 Issued in NY
Practice address
7309 Myrtle Ave
Glendale, NY 11385-7418
Phone
(718) 577-4747
NPI assigned
Jan 24, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LW0102X F421521-01 NY Primary

Addresses

Primary practice location

7309 Myrtle Ave
Glendale, NY 11385-7418

Mailing address

19218 Williamson Ave
Springfield Gardens, NY 11413-1543
Phone (516) 574-3109

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250206001754 NY Practitioner - Nurse Practitioner 9335679398 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mayer J Saad MD PCGroup PAC ID 2769629914, 44 clinicians

Practice addresses (Care Compare)

372 Post Ave
Suite 106
Westbury, NY 11590-2201
Phone (516) 333-1444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F421521-01NYMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mayer J. Saad MD P.C. Single Specialty CurrentSince Jan 1, 2025 Accepting new patients

Locations

10933 71st Rd
Ste 2G
Forest Hills, NY 11375
Phone (718) 263-1963

7309 Myrtle Ave
Glendale, NY 11385
Phone (718) 456-7270

8212 151st Ave
Jamaica, NY 11414
Phone (718) 843-6300

2950 Hempstead Tpke
Levittown, NY 11756
Phone (516) 520-3800

372 Post Ave
Ste 106
Westbury, NY 11590
Phone (516) 333-1444

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12931/brand/1/csg/1/fhir/r4
  • Direct secure messaging: tmiller@mjsmpdtwhp-ny.direct.office.nextgen.com

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": "1642982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1205588969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19218 WILLIAMSON AVE",
            "city": "SPRINGFIELD GARDENS",
            "state": "NY",
            "postal_code": "114131543",
            "telephone_number": "516-574-3109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7309 MYRTLE AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857418",
            "telephone_number": "718-577-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "TIANA",
        "middle_name": "DIOR",
        "credential": "WHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-24",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NY",
            "license": "F421521-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, NY

Sources for this page

Verify at the official NPI Registry.