Active NPI
Edwin Guyan McMillan, NP
- Gerontology Nurse Practitioner
- Poughkeepsie, NY
National Provider Identifier
1316986144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- F334064-1
- Practice address
- 140 Main St
Poughkeepsie, NY 12601-3018 - Phone
- (845) 454-7600
- NPI assigned
- Jun 6, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | F334064-1 | NY | Primary |
Addresses
Primary practice location
140 Main St
Poughkeepsie, NY 12601-3018
Mailing address
86 E Market St
Rhinebeck, NY 12572-1608
Phone (845) 876-4717
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02549659 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F334064-1 | NY | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riddle Medical LLC | Past | Accepting new patients | |
| Park Avenue Medical Associates, P.C. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Geriatric Medicine (Family Medicine) Physician
- White Plains, NY
- NPI 1730138645
-
- Geriatric Medicine (Internal Medicine) Physician
- Haworth, NJ
- NPI 1245286640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1316986144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "86 E MARKET ST",
"city": "RHINEBECK",
"state": "NY",
"postal_code": "125721608",
"telephone_number": "845-876-4717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 MAIN ST",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126013018",
"telephone_number": "845-454-7600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMILLAN",
"first_name": "EDWIN",
"middle_name": "GUYAN",
"name_prefix": "Mr.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NY",
"license": "F334064-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02549659",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Poughkeepsie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.