Active NPI
Liesl Carey Miles, M.D.
- Internal Medicine Physician
- Moorestown, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25MA09089200
- 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, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA09089200 | NJ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Patient First New Jersey Physicians Group LLC | Current | Accepting new patients | |
| Patient First New Jersey Physicians Group LLC | Current | Accepting new patients | |
| Virtua Medical Group, PA | Internal Medicine | Current | Accepting new patients |
| Virtua Medical Group, PA | Current | Accepting new patients | |
| Boost Physio and Performance | Past | 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
- 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.
-
- Urgent Care Clinic/Center
- Glen Allen, VA
- NPI 1285317750
NJ
-
dba Patient First - Woodbury
- Family Medicine Physician
- Woodbury, NJ
- NPI 1396528980
-
dba Virtua Reconstructive Orthopedics - Delran
- Orthopaedic Surgery Physician
- Delran, NJ
- NPI 1841087988
-
- Physical Therapist
- Medford, NJ
- NPI 1174381370
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.