NPIMap

Individual provider Active NPI

Laurence Charles Miller, M.D.

  • Internal Medicine Physician
  • Ardsley, NY
National Provider Identifier
1407800303
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
198911 Issued in NY
Practice address
1055 Saw Mill River Rd Ste 210
Ardsley, NY 10502-1046
Phone
(914) 231-7666
Fax
(914) 231-7667
NPI assigned
May 22, 2006
Last updated
Mar 14, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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 198911 NY Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 198911 NY
Pulmonary Disease Physician 207RP1001X 198911 NY

Addresses

Primary practice location

1055 Saw Mill River Rd Ste 210
Ardsley, NY 10502-1046

Mailing address

1055 Saw Mill River Rd Ste 210
Ardsley, NY 10502-1046
Phone (914) 494-7921

Other identifiers 1

IdentifierTypeStateIssuer
01712569MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040525001732 NY Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 8224019344 Reassigns benefits to 3 organizations
Practice locations: Ardsley, NY

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine
Education
State University of Ny Upstate Medical University, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
White Plains Medical Diagnostic Services, PCGroup PAC ID 5395918932, 95 clinicians

Practice addresses (Care Compare)

160 N Midland Ave
Nyack, NY 10960-1912
Phone (845) 480-7440

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
198911NYMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrence Medical Associates, PC Internal Medicine Current Accepting new patients
Montefiore Nyack Hospital CurrentSince Aug 1, 2022 Accepting new patients
Montefiore Nyack Hospital CurrentSince Aug 1, 2022 Accepting new patients
Lawrence Medical Associates, PC CurrentSince Feb 1, 2022 Accepting new patients
White Plains Medical Diagnostic Services, PC Internal Medicine CurrentSince Oct 28, 2022 Accepting new patients
Dobbs Ferry Emergency Medicine, PC Past Accepting new patients
Brain & Spine Surgeons of New York PC PastSince Dec 1, 2021 Accepting new patients

Locations

329 White Plains Rd
Ste 100
Eastchester, NY 10709
Phone (914) 337-1610

685 White Plains Rd
Fl 2
Eastchester, NY 10709
Phone (914) 787-4100

160 N Midland Ave
Nyack, NY 10960
Phone (845) 348-2000

97 Route 303
Tappan, NY 10983
Phone (845) 348-2198

41 E Post Rd
White Plains, NY 10601
Phone (914) 681-1201

2649 Strang Blvd
Ste 304
Yorktown Heights, NY 10598
Phone (646) 745-6369

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 7

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1407800303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 SAW MILL RIVER RD STE 210",
            "city": "ARDSLEY",
            "state": "NY",
            "postal_code": "105021046",
            "telephone_number": "914-494-7921",
            "fax_number": "914-231-7667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 SAW MILL RIVER RD STE 210",
            "city": "ARDSLEY",
            "state": "NY",
            "postal_code": "105021046",
            "telephone_number": "914-231-7666",
            "fax_number": "914-231-7667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "LAURENCE",
        "middle_name": "CHARLES",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "198911",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NY",
            "license": "198911",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "198911",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01712569",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardsley, NY

Sources for this page

Verify at the official NPI Registry.