Organization Active NPI

Millie Medical of New Jersey, P.a.

  • General Practice Physician
  • New Brunswick, NJ
National Provider Identifier
1306562129
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
MILLIE MEDICAL OF NEW JERSEY, P.A.
Practice address
37 Easton Ave Ste 200
New Brunswick, NJ 08901-1830
Phone
(561) 476-0600
NPI assigned
Oct 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Authorized official

Name
Nancy Herrera
Title
Clinical Operations Manager
Phone
(920) 915-6995

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

37 Easton Ave Ste 200
New Brunswick, NJ 08901-1830

Mailing address

222 Lakeview Ave Ste 735
West Palm Beach, FL 33401-6145
Phone (231) 432-5841

Other practice location 1

80 Broad St Fl 5
New York, NY 10004-2257
Phone (231) 432-5841

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1665619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774483200000",
    "number": "1306562129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 LAKEVIEW AVE STE 735",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334016145",
            "telephone_number": "231-432-5841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 EASTON AVE STE 200",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011830",
            "telephone_number": "561-476-0600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "80 Broad St Fl 5",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100042257",
            "country_code": "US",
            "telephone_number": "231-432-5841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MILLIE MEDICAL OF NEW JERSEY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-13",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A",
        "authorized_official_last_name": "HERRERA",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "CLINICAL OPERATIONS MANAGER",
        "authorized_official_telephone_number": "920-915-6995"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; 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.