Active NPI
Pulmonary & Critical Care Associates
- Pulmonary Disease Physician
- Newark, NJ
National Provider Identifier
1467536623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- MA049101
- Legal business name
- PULMONARY & CRITICAL CARE ASSOCIATES
- Practice address
- 268-306 Dr M.L.K. Blvd
Newark, NJ 07102 - Phone
- (973) 877-5493
- Fax
- (973) 877-2993
- NPI assigned
- Oct 24, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richard A Miller, M.D.
- Title
- Physician
- Phone
- (973) 877-5493
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | MA049101 | NJ | Primary |
Addresses
Primary practice location
268-306 Dr M.L.K. Blvd
Newark, NJ 07102
Mailing address
268-306 Dr M.L.K. Blvd
Newark, NJ 07102
Phone (973) 877-5493
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3438104 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
268 Dr Martin Luther King Jr Blvd
Ste 306
Newark, NJ 07102
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pulmonary Disease Physician
- Newark, NJ
- NPI 1124109319
-
- Pulmonary Disease Physician
- Montclair, NJ
- NPI 1912959685
-
- Pulmonary Disease Physician
- Newark, NJ
- NPI 1427203306
-
- Critical Care Medicine (Internal Medicine) Physician
- Newark, NJ
- NPI 1588745772
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1467536623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "268-306 DR M.L.K. BLVD",
"city": "NEWARK",
"state": "NJ",
"postal_code": "07102",
"telephone_number": "973-877-5493",
"fax_number": "973-877-2993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "268-306 DR M.L.K. BLVD",
"city": "NEWARK",
"state": "NJ",
"postal_code": "07102",
"telephone_number": "973-877-5493",
"fax_number": "973-877-2993"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PULMONARY & CRITICAL CARE ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-24",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "973-877-5493",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NJ",
"license": "MA049101",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3438104",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.