Damon Miller

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

270 Summit Ave Apt 1
Jersey City, NJ 07306-2666

Phone

(856) 278-9218

NPI assigned

Feb 25, 2019

Last updated

Aug 28, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fauntix Support Services LLC

  • Case Management Agency
  • Jersey City, NJ
  • NPI 1700449923
  NPD Authorized official

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

{
    "created_epoch": "1551052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1538626684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 SUMMIT AVE APT 1",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073062666",
            "telephone_number": "856-278-9218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 SUMMIT AVE APT 1",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073062666",
            "telephone_number": "856-278-9218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "DAMON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-25",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rao S Mikkilineni, MD
• Danielle Miksza, LPC
• Milestone Behavior Therapy
• Christopher Andrada Millan
• Heidi Rosanna Millan, APN
• William Roy Miller, MSW LCSW
• Alexander Milman, DDS
• Valery Milman, DDS
• Irene Min, M.D.
• Mina Pharmacy Corp (St Mark Pharmacy)

• Case Manager/Care Coordinator in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Case Manager/Care Coordinator in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; 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.