John Milici Jr.

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

25MP00645900 Issued in NJ

Practice address

229 High St
Nutley, NJ 07110-1430

Phone

(973) 900-3249

NPI assigned

Dec 19, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, NY2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Bariatric New Jersey PCGroup PAC ID 1759635980, 19 clinicians

Bergen County Improvement AuthorityGroup PAC ID 9032104047, 95 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hackensack Meridian Mountainside Medical Hospital, Montclair, NJ, CCN 310054
• Valley Hospital Hospital, Paramus, NJ, CCN 310012

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nybg.johnmilici@136202.advancedmd-direct.com
• Direct secure messaging: jmilici833354@ahs.direct-ci.com

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.

• Bergen County Improvement Authority

  • Internal Medicine Physician
  • Paramus, NJ
  • NPI 1891836441
  Medicare reassignment Care Compare group NPD
• Premier Bariatric New Jersey PC

  • Specialist
  • Wayne, NJ
  • NPI 1548735145
  Medicare reassignment Care Compare group
• Titan Health Partners LLC

  • Hematology & Oncology Physician
  • East Brunswick, NJ
  • NPI 1790396281
  Medicare reassignment NPD
• SMGH Physician Practice Management, LLC

  • Internal Medicine Physician
  • Passaic, NJ
  • NPI 1033578075
  Medicare reassignment
• St Marys General Medical Group PC

  • Internal Medicine Physician
  • Passaic, NJ
  • NPI 1477261741
  Medicare reassignment
• New York Bariatric Surgery Group PLLC

  • Specialist
  • Roslyn Heights, NY
  • NPI 1164898821
  Medicare reassignment
• Bergen County Improvement Authority

  • Psychiatric Hospital Unit
  • Paramus, NJ
  • NPI 1952456295
  NPD
• Titan Health Partners LLC

  • Hematology & Oncology Physician
  • Rutherford, NJ
  • NPI 1811540271
  NPD
• Bergen County Improvement Authority

  • General Acute Care Hospital
  • Paramus, NJ
  • NPI 1689682999
  NPD (past)

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

• Montclair Hospital LLC

  • General Acute Care Hospital
  • Montclair, NJ
  • NPI 1982720249
  Care Compare affiliation
• The Valley Hospital Inc.

  • General Acute Care Hospital
  • Paramus, NJ
  • NPI 1013912633
  Care Compare affiliation

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

{
    "created_epoch": "1576713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1356989495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 HIGH ST",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071101430",
            "telephone_number": "973-900-3249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 HIGH ST",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071101430",
            "telephone_number": "973-900-3249"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 State Rt 17 Fl 11",
            "address_purpose": "LOCATION",
            "city": "Rutherford",
            "state": "NJ",
            "postal_code": "070702557",
            "country_code": "US",
            "telephone_number": "732-390-7750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILICI",
        "first_name": "JOHN",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-19",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NJ",
            "license": "25MP00645900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Metro Ambulance LLC
• Michael F. Durante, M.D.
• Michael F. Durante, M.D., LLC
• Michael J Straker LLC
• Mila Optometry, Inc
• Megan Ann Miller
• Robyn Millman
• Mind Matters & Solutions LLC
• Chad Mineo, STUDENT
• Emma Elaine Mircovich, PA-C

• Surgical Physician Assistant in Nutley, NJ
• Providers in Nutley, NJ by specialty
• Surgical Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.