Joel M. Miller M.D. PC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

Legal business name

JOEL M. MILLER M.D. PC

Practice address

2 Northwestern Dr Ste 300
Bloomfield, CT 06002-3480

Phone

(860) 242-6633

Fax

(860) 286-8411

NPI assigned

Dec 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Joel M Miller, M.D.

Title

Physician

Phone

(860) 242-6633

Specialties & licenses 1

Addresses

Other identifiers 10

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan Charmaine Izzo, N.P.

  • Family Nurse Practitioner
  • Vernon, CT
  • NPI 1881644631
  NPD (past)
• Alaine F Zuwallack, APRN

  • Adult Health Nurse Practitioner
  • Hartford, CT
  • NPI 1487887378
  NPD (past)

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548806400000",
    "number": "1366500407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 NORTHWESTERN DR STE 300",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060023480",
            "telephone_number": "860-242-6633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 NORTHWESTERN DR STE 300",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060023480",
            "telephone_number": "860-242-6633",
            "fax_number": "860-286-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOEL M. MILLER M.D. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2019-01-30",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "860-242-6633",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM FEP",
            "identifier": "010015926CT01",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0505863",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "053027",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B",
            "identifier": "110008015",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2045215",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD CT",
            "identifier": "010015926CT01",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "01215926",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2522185",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "0333001174",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACS HEALTH NET",
            "identifier": "0V7294",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Marie Jay, R.D.
• Jean M. Lafayette, LLC
• Eliman K Jeng
• Jennifer W Pennoyer MD LLC
• Jill R. Cristo Ma LMFT LLC
• Lisa M Johnson-Holloway, L.C.S.W.
• Keniesha Johnson, LCSW
• Samantha Johnson
• Michelle A Joiner
• Wanda Jones, CMAA

• Endocrinology, Diabetes & Metabolism Physician in Bloomfield, CT
• Providers in Bloomfield, CT by specialty
• Endocrinology, Diabetes & Metabolism Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; 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.