NPIMap

Individual provider Active NPI

Jeffrey Howard Millstein, MD

  • Internal Medicine Physician
  • Woodbury, NJ
National Provider Identifier
1396772281
Registry record updated Jun 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA06803300 Issued in NJ
Practice address
1006 Mantua Pike
Woodbury, NJ 08097-1253
Phone
(856) 845-8600
Fax
(856) 845-0535
NPI assigned
Jun 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD043011L PA
Internal Medicine Physician 207R00000X MA68033 NJ
Internal Medicine Physician 207R00000X 25MA06803300 NJ Primary

Addresses

Primary practice location

1006 Mantua Pike
Woodbury, NJ 08097-1253

Mailing address

1006 Mantua Pike
Woodbury, NJ 08097-1253
Phone (856) 845-8600

Other practice location 1

1800 Lombard St Ste 206
Philadelphia, PA 19146-1414
Phone (215) 615-2222

Other identifiers 1

IdentifierTypeStateIssuer
7629800MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100329000921 NJ Practitioner - Internal Medicine 5991831968 Reassigns benefits to 2 organizations
I20200710001121 PA Practitioner - Internal Medicine 5991831968 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1006 Mantua Pike
Woodbury, NJ 08097-1221
Phone (856) 845-8600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA68033NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Health Care Associates of New Jersey, P.C. Internal Medicine CurrentSince Jan 4, 1998 Accepting new patients
University of Penn-Medical Group CurrentSince Mar 24, 2020 Accepting new patients
University of Penn-Medical Group Internal Medicine CurrentSince Mar 24, 2020 Accepting new patients
Cooper Physician Offices, PA Internal Medicine CurrentSince Apr 1, 2015 Accepting new patients
University of Penn - Medical Group Internal Medicine Current Accepting new patients
Clinical Health Care Associates of New Jersey, PC Internal Medicine CurrentSince Jan 4, 1998 Accepting new patients

Locations

1865 Route 70 E
Ste 210
Cherry Hill, NJ 08003
Phone (856) 427-4336

1210 Brace Rd
Cherry Hill, NJ 08034
Phone (609) 428-6616

310 Salem Woodstown Rd
Salem, NJ 08079
Phone (856) 339-6054

509 N Broad St
Woodbury, NJ 08096
Phone (856) 686-5396

1006 Mantua Pike
Woodbury Hts, NJ 08097
Phone (856) 845-6880

1800 Lombard St
Ste 206
Philadelphia, PA 19146
Phone (215) 615-2222

Organizations & group practices 6

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.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592784000000",
    "number": "1396772281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 MANTUA PIKE",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080971253",
            "telephone_number": "856-845-8600",
            "fax_number": "856-845-0535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 MANTUA PIKE",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080971253",
            "telephone_number": "856-845-8600",
            "fax_number": "856-845-0535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 Lombard St Ste 206",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191461414",
            "country_code": "US",
            "telephone_number": "215-615-2222",
            "fax_number": "215-893-7317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLSTEIN",
        "first_name": "JEFFREY",
        "middle_name": "HOWARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD043011L",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA68033",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA06803300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7629800",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, NJ

Sources for this page

Verify at the official NPI Registry.