Active NPI
Jonathan Gary Miller
- Physician Assistant
- Williamsville, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 031096
- Practice address
- 111 N Maplemere Rd Ste 100
Williamsville, NY 14221-3182 - Phone
- (716) 204-3200
- Fax
- (716) 204-4337
- NPI assigned
- Jul 31, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physician Assistant | 363A00000X | 031096 | NY | Primary |
Addresses
Primary practice location
111 N Maplemere Rd Ste 100
Williamsville, NY 14221-3182
Mailing address
4225 Genesee St Ste 400
Cheektowaga, NY 14225-1994
Phone (167) 204-3200
Other practice location 1
565 Abbott Rd
Buffalo, NY 14220-2039
Phone (716) 826-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
160 Farber Hall
Buffalo, NY 14214-8001
Phone (716) 829-2070
5959 Big Tree Rd
Orchard Park, NY 14127-2210
Phone (716) 204-3200
Hospital & facility affiliations
- Kaleida Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 031096 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Orthopaedic Services, Inc | Current | Accepting new patients | |
| University Orthopaedic Services Inc. | Current | Accepting new patients |
Locations
160 Farber Hall
Buffalo, NY 14214
Phone (716) 829-2070
4225 Genesee St
Ste 400
Cheektowaga, NY 14225
Phone (716) 906-5905
111 N Maplemere Rd
Ste 100
Williamsville, NY 14221
Phone (716) 810-7997
Interoperability endpoints
- jmiller@ubortho.medentdirect.com
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- Cheektowaga, NY
- NPI 1578599866
-
- Emergency Medicine Physician
- Williamsville, NY
- NPI 1508816521
-
- Orthopaedic Surgery Physician
- Amherst, NY
- NPI 1528209962
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Williamsville, NY
- NPI 1053441907
-
- General Acute Care Hospital
- North Tonawanda, NY
- NPI 1104956358
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1245365196
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1366473183
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1639209596
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1831229780
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726099200000",
"number": "1457032674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4225 GENESEE ST STE 400",
"city": "CHEEKTOWAGA",
"state": "NY",
"postal_code": "142251994",
"telephone_number": "167-204-3200",
"fax_number": "716-204-4337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 N MAPLEMERE RD STE 100",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142213182",
"telephone_number": "716-204-3200",
"fax_number": "716-204-4337"
}
],
"practiceLocations": [
{
"address_1": "565 Abbott Rd",
"address_purpose": "LOCATION",
"city": "Buffalo",
"state": "NY",
"postal_code": "142202039",
"country_code": "US",
"telephone_number": "716-826-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLER",
"first_name": "JONATHAN",
"middle_name": "GARY",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-07-31",
"last_updated": "2024-09-12",
"certification_date": "2024-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "031096",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Williamsville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.