Miller Group Home Inc

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

License

GH020 Issued in NJ

Legal business name

MILLER GROUP HOME INC

Practice address

5208 Megill Road
Farmingdale, NJ 07727

Phone

(732) 938-4376

Fax

(732) 938-9473

NPI assigned

Jun 18, 2015

Last updated

Jun 18, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Clair Miller

Title

Administrator

Phone

(732) 938-4376

Specialties & licenses 2

Addresses

Tax ID family

Miller Group Home Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Miller Group Home Inc

  • Developmental Disabilities Clinic/Center
  • Howell, NJ
  • NPI 1821534157
  NPD tax ID

Locations

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

{
    "created_epoch": "1434585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434585600000",
    "number": "1275915951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 112",
            "city": "FARMINGDALE",
            "state": "NJ",
            "postal_code": "077270112",
            "telephone_number": "732-938-4376",
            "fax_number": "732-938-9742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5208 MEGILL ROAD",
            "city": "FARMINGDALE",
            "state": "NJ",
            "postal_code": "07727",
            "telephone_number": "732-938-4376",
            "fax_number": "732-938-9473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLER GROUP HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-18",
        "last_updated": "2015-06-18",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "CLAIR",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "732-938-4376",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "NJ",
            "license": "GH020",
            "primary": true
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "NJ",
            "license": "GH749",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Maiorano, R.PH.
• Madeline Rose Martino
• Amira Massey
• Elizabeth R McHugh, PHD
• Sheila M. Mellody, M.D.
• Marisa Juliana Mongioi, RDN
• Namaste Therapy
• Oksana Nazarov, APN
• Mark William Ornstein, M.D.
• Daniel Albar Ramza Patterson, MD

• Developmental Disabilities Clinic/Center in Farmingdale, NJ
• Providers in Farmingdale, NJ by specialty
• Developmental Disabilities Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.