Individual provider Active NPI

Liesl Carey Miles, M.D.

  • Internal Medicine Physician
  • Moorestown, NJ
National Provider Identifier
1275713042
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA09089200 Issued in NJ
Practice address
401 Young Ave Ste 380a
Moorestown, NJ 08057-3130
Phone
(856) 291-8650
Fax
(856) 291-8654
NPI assigned
Nov 9, 2007
Last updated
Apr 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA09089200 NJ Primary

Addresses

Primary practice location

401 Young Ave Ste 380a
Moorestown, NJ 08057-3130

Mailing address

301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
Phone (856) 291-8650

Other practice location 1

630 Mantua Pike
Woodbury, NJ 08096-3233
Phone (856) 812-2220

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address lmiles227575@directvirtua.org
Direct Messaging Address NJExchange@patientfirstclinics.com Health Information Exchange (HIE)

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
I20130211000366 NJ Practitioner - Internal Medicine 6406000926 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Drexel University College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

630 Mantua Pike
Woodbury, NJ 08096-3233
Phone (856) 812-2220

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA09089200NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Patient First New Jersey Physicians Group LLC CurrentSince Mar 28, 2025 Accepting new patients
Patient First New Jersey Physicians Group LLC CurrentSince Mar 28, 2025 Accepting new patients
Virtua Medical Group, PA Internal Medicine Current Accepting new patients
Virtua Medical Group, PA CurrentSince Jun 1, 2022 Accepting new patients
Boost Physio and Performance PastSince Apr 1, 2024 Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

301 Lippincott Dr
Ste 410
Marlton, NJ 08053

401 Young Ave
Ste 380A
Moorestown, NJ 08057
Phone (856) 291-8650

630 Mantua Pike
Woodbury, NJ 08096
Phone (856) 812-2220

5000 Cox Rd
Glen Allen, VA 23060
Phone (804) 822-4355

Interoperability endpoints

  • Direct secure messaging: njexchange@patientfirstclinics.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1275713042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LIPPINCOTT DR STE 410",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534197",
            "telephone_number": "856-291-8650",
            "fax_number": "856-291-8654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 YOUNG AVE STE 380A",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573130",
            "telephone_number": "856-291-8650",
            "fax_number": "856-291-8654"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "630 Mantua Pike",
            "address_purpose": "LOCATION",
            "city": "Woodbury",
            "state": "NJ",
            "postal_code": "080963233",
            "country_code": "US",
            "telephone_number": "856-812-2220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILES",
        "first_name": "LIESL",
        "middle_name": "CAREY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-09",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA09089200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lmiles227575@directvirtua.org",
            "affiliation": "N",
            "address_1": "401 Young Ave Ste 380A",
            "city": "Moorestown",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080573130",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "NJExchange@patientfirstclinics.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "630 Mantua Pike",
            "city": "Woodbury",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080963233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Moorestown, NJ

Sources for this page

Verify at the official NPI Registry.