Active NPI
Millennium Healthcare of Clifton, LLC
- Ambulatory Surgical Clinic/Center
- Clifton, NJ
National Provider Identifier
1528347101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- MILLENNIUM HEALTHCARE OF CLIFTON, LLC
- Practice address
- 925 Clifton Ave
Suite #201
Clifton, NJ 07013-2724 - Phone
- (973) 249-7700
- Fax
- (973) 249-7705
- NPI assigned
- Aug 12, 2011
- Last updated
- Jul 30, 2026
- 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
- Jonathan Bailey
- Title
- Officer/Authorized Official
- Phone
- (203) 609-1168
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | NU | Primary |
Addresses
Primary practice location
925 Clifton Ave
Suite #201
Clifton, NJ 07013-2724
Mailing address
925 Clifton Ave
Suite #201
Clifton, NJ 07013-2724
Phone (973) 249-7700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31C0001301 | Other | NJ | MEDICARE CCN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130802000274 | NJ | Part B Supplier - Ambulatory Surgical Center | 3375784317 | Practice locations: Clifton, NJ |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Millennium Healthcare of Clifton LLC
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba JFK Advanced Medical Imaging of Old Bridge
- Radiology Clinic/Center
- Old Bridge, NJ
- NPI 1861848350
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313107200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785369600000",
"number": "1528347101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "925 CLIFTON AVE",
"address_2": "SUITE #201",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070132724",
"telephone_number": "973-249-7700",
"fax_number": "973-249-7705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "925 CLIFTON AVE",
"address_2": "SUITE #201",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070132724",
"telephone_number": "973-249-7700",
"fax_number": "973-249-7705"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MILLENNIUM HEALTHCARE OF CLIFTON, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-12",
"last_updated": "2026-07-30",
"certification_date": "2026-07-30",
"status": "A",
"authorized_official_last_name": "BAILEY",
"authorized_official_first_name": "JONATHAN",
"authorized_official_title_or_position": "OFFICER/AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "203-609-1168"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE CCN",
"identifier": "31C0001301",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clifton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.