Active NPI
Joseph M Miller, DO
- Obstetrics & Gynecology Physician
- Sea Girt, NJ
National Provider Identifier
1255307856
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Aug 20, 2015.
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 25MB07112600
- Practice address
- 2130 Highway 35
Building a- Suite 123
Sea Girt, NJ 08750-1010 - Phone
- (352) 220-3066
- Fax
- (732) 449-4407
- NPI assigned
- Feb 24, 2006
- Last updated
- Apr 6, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 25MB07112600 | NJ | Primary |
| Obstetrics & Gynecology Physician | 207V00000X | OS10658 | FL |
Addresses
Primary practice location
2130 Highway 35
Building a- Suite 123
Sea Girt, NJ 08750-1010
Mailing address
9 Victoria Cir
Jackson, NJ 08527-3200
Phone (352) 220-3066
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001300800 | Medicaid | FL | |
| 0007234 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MB07112600 | NJ | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital Group of South Jersey, PC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Manahawkin, NJ
- NPI 1750338307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428278400000",
"number": "1255307856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 VICTORIA CIR",
"city": "JACKSON",
"state": "NJ",
"postal_code": "085273200",
"telephone_number": "352-220-3066",
"fax_number": "732-449-4407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2130 HIGHWAY 35",
"address_2": "BUILDING A- SUITE 123",
"city": "SEA GIRT",
"state": "NJ",
"postal_code": "087501010",
"telephone_number": "352-220-3066",
"fax_number": "732-449-4407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "JOSEPH",
"middle_name": "M",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-24",
"last_updated": "2015-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NJ",
"license": "25MB07112600",
"primary": true
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "OS10658",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001300800",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0007234",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sea Girt, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.