Benetta Miller, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

25MA04783600 Issued in NJ

Practice address

330 Grand St
Suite 100
Hoboken, NJ 07030-2728

Phone

(201) 420-7903

NPI assigned

Mar 9, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Surgery

Education

Boston University School of Medicine, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Garden State Healthcare Associates LLCGroup PAC ID 8426190687, 171 clinicians

New Jersey Medical and Health Associates,LLCGroup PAC ID 9133300791, 24 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Carepoint Health-Hoboken University Medical Center Hospital, Hoboken, NJ, CCN 310040
• Carepoint Health - Bayonne Medical Center Hospital, Bayonne, NJ, CCN 310025
• Heights University Hospital Hospital, Jersey City, NJ, CCN 310016

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: benetta.miller@direct.hobokenumc.md
• Direct secure messaging: benetta.miller@cphmg.eclinicaldirectplus.com
• Direct secure messaging: benetta.miller@direct.carepointhealth.org

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.

• Garden State Healthcare Associates, LLC

  • Emergency Medicine Physician
  • Bayonne, NJ
  • NPI 1700014545
  Medicare reassignment Care Compare group NPD
• New Jersey Medical and Health Associates,LLC

  • Internal Medicine Physician
  • Hoboken, NJ
  • NPI 1558673582
  Medicare reassignment Care Compare group
• Humc Opco LLC

  • General Acute Care Hospital
  • Hoboken, NJ
  • NPI 1043475668
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hudson Hospital Opco LLC

  • General Acute Care Hospital
  • Jersey City, NJ
  • NPI 1871859306
  Care Compare affiliation
• Humc Opco LLC

  • General Acute Care Hospital
  • Hoboken, NJ
  • NPI 1043475668
  Care Compare affiliation
• Ijkg Opco LLC

  • General Acute Care Hospital
  • Bayonne, NJ
  • NPI 1821101239
  Care Compare affiliation

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1316079239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 PROSPECT ST",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070401304",
            "telephone_number": "973-378-2045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 GRAND ST",
            "address_2": "SUITE 100",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070302728",
            "telephone_number": "201-420-7903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "BENETTA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "047836",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA04783600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100400",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Metro Drugs Hoboken LLC
• Cristina Miceli, D.O.
• Osama Michael
• Thomas Angelo Migliaccio, M.D.
• Milkbodysoul LLC
• Mindful Power LLC
• Francyne Mireku
• Mission Hoboken Chiropractic PC
• Mitchell Steinway MD
• Modern RX Limited Liability Company

• Surgery Physician in Hoboken, NJ
• Providers in Hoboken, NJ by specialty
• Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.

Verify at the official NPI Registry.