Active NPI
Edwin Miller
- Taxi
- Hudson, NY
National Provider Identifier
1477901635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Taxi
- Practice address
- 160 Fairview Ave Ste 133-299
Hudson, NY 12534-1267 - Phone
- (518) 965-3847
- NPI assigned
- May 28, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Taxi | 344600000X | NY | Primary |
Addresses
Primary practice location
160 Fairview Ave Ste 133-299
Hudson, NY 12534-1267
Mailing address
160 Fairview Ave Ste 133-299
Hudson, NY 12534-1267
Phone (518) 965-3847
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 81-1915333 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464393600000",
"number": "1477901635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 FAIRVIEW AVE STE 133-299",
"city": "HUDSON",
"state": "NY",
"postal_code": "125341267",
"telephone_number": "518-965-3847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 FAIRVIEW AVE STE 133-299",
"city": "HUDSON",
"state": "NY",
"postal_code": "125341267",
"telephone_number": "518-965-3847"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "EDWIN",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-05-28",
"last_updated": "2016-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "344600000X",
"taxonomy_group": "",
"desc": "Taxi",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "81-1915333",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hudson, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.