Organization Active NPI

Gregory D Mills DPM LLC

  • Podiatrist
  • Cherry Hill, NJ
National Provider Identifier
1295066678
Registry record updated Jan 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
MD1968 Issued in NJ
Legal business name
GREGORY D MILLS DPM LLC
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 25, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2010

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

Authorized official

Name
Dr. Gregory Mills, DPMNPI 1083646293
Title
Member
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X MD1968 NJ Primary

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 IDStateProvider typePAC IDDetails
O20100311000151 NJ Part B Supplier - Clinic/Group Practice 9032254396 Receives reassigned benefits from 1 practitioner
Practice locations: Cherry Hill, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1264377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264377600000",
    "number": "1295066678",
    "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 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-25",
        "last_updated": "2010-01-25",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "856-751-3313",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "MD1968",
            "primary": true
        }
    ],
    "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 Jan 25, 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.

Verify at the official NPI Registry.