Individual provider Active NPI

Jeffrey J Miller, DPT

  • Physical Therapist
  • Haddonfield, NJ
National Provider Identifier
1306212055
Registry record updated Aug 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01623700 Issued in NJ
Practice address
76 E Euclid Ave
Suite 100
Haddonfield, NJ 08033-2330
Phone
(856) 427-9311
Fax
(856) 427-9310
NPI assigned
Aug 18, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01623700 NJ Primary

Addresses

Primary practice location

76 E Euclid Ave
Suite 100
Haddonfield, NJ 08033-2330

Mailing address

76 E Euclid Ave
Suite 100
Haddonfield, NJ 08033-2330
Phone (856) 427-9311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150922000209 NJ Practitioner - Physical Therapist in Private Practice 8022325133 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Romash and Crowell Physical Therapy LLCGroup PAC ID 1759620511, 5 clinicians

Practice addresses (Care Compare)

76 E Euclid Ave
Suite 100
Haddonfield, NJ 08033-2330
Phone (856) 427-9311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Romash & Crowell Physical Therapy LLC Physical Therapist CurrentSince Jan 31, 2019 Accepting new patients

Locations

76 E Euclid Ave
Ste 100
Haddonfield, NJ 08033
Phone (856) 427-9311

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1439856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439856000000",
    "number": "1306212055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 E EUCLID AVE",
            "address_2": "SUITE 100",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "080332330",
            "telephone_number": "856-427-9311",
            "fax_number": "856-427-9310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 E EUCLID AVE",
            "address_2": "SUITE 100",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "080332330",
            "telephone_number": "856-427-9311",
            "fax_number": "856-427-9310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JEFFREY",
        "middle_name": "J",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-18",
        "last_updated": "2015-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01623700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haddonfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.