Active NPI
Gregory D Mills DPM
- Durable Medical Equipment & Medical Supplies
- Cherry Hill, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- MD16968
- 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, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gregory D Mills
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930034400 | NJ | DME Supplier - Physician - Podiatry | 8426175522 | Practice locations: Cherry Hill, NJ |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Podiatrist
- Cherry Hill, NJ
- NPI 1083646293
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.