Organization Active NPI

Gregory D Mills DPM

  • Durable Medical Equipment & Medical Supplies
  • Cherry Hill, NJ
National Provider Identifier
1245416866
Registry record updated Sep 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
MD16968 Issued in NJ
Legal business name
GREGORY D MILLS DPM
Practice address
1930 Route 70 E Ste L60
The Executive Mews
Cherry Hill, NJ 08003-4201
Phone
(856) 751-3313
Fax
(856) 751-8370
NPI assigned
Jan 14, 2008
Last updated
Sep 27, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2010

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

Authorized official

Name
Dr. Gregory D MillsNPI 1083646293
Title
Owner
Phone
(856) 751-3313

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X MD16968 NJ Primary
Customized Equipment (DME) 332BC3200X MD1968 NJ
Prosthetic/Orthotic Supplier 335E00000X MD1968 NJ

Addresses

Primary practice location

1930 Route 70 E Ste L60
The Executive Mews
Cherry Hill, NJ 08003-4201

Mailing address

1930 Route 70 E Ste L60
The Executive Mews
Cherry Hill, NJ 08003-4201
Phone (856) 751-3313

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930034400 NJ DME Supplier - Physician - Podiatry 8426175522 Practice locations: Cherry Hill, NJ

National Provider Directory

National Provider Directory

Locations

1930 Route 70 E
Ste L60
Cherry Hill, NJ 08003
Phone (856) 751-3313

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285545600000",
    "number": "1245416866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 ROUTE 70 E STE L60",
            "address_2": "THE EXECUTIVE MEWS",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080034201",
            "telephone_number": "856-751-3313",
            "fax_number": "856-751-8370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 ROUTE 70 E STE L60",
            "address_2": "THE EXECUTIVE MEWS",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080034201",
            "telephone_number": "856-751-3313",
            "fax_number": "856-751-8370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY D MILLS DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-14",
        "last_updated": "2010-09-27",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-751-3313",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NJ",
            "license": "MD16968",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NJ",
            "license": "MD1968",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NJ",
            "license": "MD1968",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.