Individual provider Active NPI

Michelle Hildi Millman, PAC

  • Physician Assistant
  • Livingston, NJ
National Provider Identifier
1407407729
Registry record updated Sep 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00537500 Issued in NJ
Practice address
94 Old Short Hills Rd Ste 1
Livingston, NJ 07039-5668
Phone
(973) 322-5000
NPI assigned
Sep 27, 2019
Last updated
Sep 27, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 023920 NY
Physician Assistant 363A00000X 25MP00537500 NJ Primary

Addresses

Primary practice location

94 Old Short Hills Rd Ste 1
Livingston, NJ 07039-5668

Mailing address

11 Scarsdale Dr
Livingston, NJ 07039-1410
Phone (973) 632-5280

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191126001404 NJ Practitioner - Physician Assistant 1153754528 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doctors Office of West Caldwell LLCGroup PAC ID 7416130448, 26 clinicians

Practice addresses (Care Compare)

556 Passaic Ave
West Caldwell, NJ 07006-7449
Phone (973) 808-2273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
25MP00537500NJMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Family MD LLC CurrentSince Jan 24, 2025 Accepting new patients
Pharma Holding Inc PastSince Jul 23, 2023 Accepting new patients

Locations

393 Mulberry St
Ste 203
Newark, NJ 07102
Phone (201) 733-9222

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1569542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569542400000",
    "number": "1407407729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 SCARSDALE DR",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070391410",
            "telephone_number": "973-632-5280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 OLD SHORT HILLS RD STE 1",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070395668",
            "telephone_number": "973-322-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLMAN",
        "first_name": "MICHELLE",
        "middle_name": "HILDI",
        "name_prefix": "Ms.",
        "credential": "PAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-27",
        "last_updated": "2019-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "023920",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00537500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, NJ

Sources for this page

Verify at the official NPI Registry.