Carl Mills MD PC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

CARL MILLS MD PC

Practice address

250 Patchogue Yaphank Rd
Suite 15
E Patchogue, NY 11772-4800

Phone

(631) 475-5051

Fax

(631) 475-5140

NPI assigned

Dec 1, 2011

Last updated

Dec 1, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Carl Mills II, MDNPI 1033110747

Title

Owner

Phone

(631) 475-5051

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carl Mills II, M.D.

  • Urology Physician
  • East Patchogue, NY
  • NPI 1033110747
  Authorized official Same address or phone

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

{
    "created_epoch": "1322697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322697600000",
    "number": "1437426764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 PATCHOGUE YAPHANK RD",
            "address_2": "SUITE 15",
            "city": "E PATCHOGUE",
            "state": "NY",
            "postal_code": "117724800",
            "telephone_number": "631-475-5051",
            "fax_number": "631-475-5140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 PATCHOGUE YAPHANK RD",
            "address_2": "SUITE 15",
            "city": "E PATCHOGUE",
            "state": "NY",
            "postal_code": "117724800",
            "telephone_number": "631-475-5051",
            "fax_number": "631-475-5140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARL MILLS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-01",
        "last_updated": "2011-12-01",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "CARL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-475-5051",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faruq Ahmed, MD
• Rahul Bajaj, M.D.
• Brookhaven Gastroenterology Associates, P.C.
• Nitzia Distance, RN
• Candyce Fahner, RN IBCLC
• Alexander Seth Finger, M.D.
• Jennifer Fulton, PA
• Lauren M Galatro-Negri

• Urology Physician in E Patchogue, NY
• Providers in E Patchogue, NY by specialty
• Urology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; 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.