Individual provider Active NPI

Julia Sullivan Miller, MD PH D

  • Ophthalmology Physician
  • Edison, NJ
National Provider Identifier
1386651339
Registry record updated Nov 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25MA07578700 Issued in NJ
Practice address
1150 Amboy Ave
Edison, NJ 08837-2500
Phone
(732) 548-3200
Fax
(732) 548-1919
NPI assigned
Aug 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 25MA07578700 NJ Primary
General Practice Physician 208D00000X 220593-1 NY

Addresses

Primary practice location

1150 Amboy Ave
Edison, NJ 08837-2500

Mailing address

1150 Amboy Ave
Edison, NJ 08837-2500
Phone (732) 548-3200

Other identifiers 2

IdentifierTypeStateIssuer
3214351OtherNJAETNA
P3033065OtherNJOXFORD

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040520000261 NJ Practitioner - Ophthalmology 9234037078 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Tulane University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associates in Plastic Surgery and ENT PAGroup PAC ID 3274432232, 2 clinicians

Practice addresses (Care Compare)

1150 Amboy Ave
Edison, NJ 08837-2500
Phone (732) 548-3200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
220593-1NYMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Plastic Surgery & ENT PA Ophthalmology 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227052800000",
    "number": "1386651339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 AMBOY AVE",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088372500",
            "telephone_number": "732-548-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 AMBOY AVE",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088372500",
            "telephone_number": "732-548-3200",
            "fax_number": "732-548-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN MILLER",
        "first_name": "JULIA",
        "name_prefix": "Mrs.",
        "credential": "MD PH D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2008-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA07578700",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "220593-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3214351",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3033065",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

Verify at the official NPI Registry.