Individual provider Active NPI

Janet M. F. Miller, RPA-C

  • Physician Assistant
  • Long Beach, NY
National Provider Identifier
1578724290
Registry record updated Apr 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
004486-1 Issued in NY
Practice address
1013 W Beech St
Long Beach, NY 11561-1203
Phone
(516) 431-7600
Fax
(516) 431-7691
NPI assigned
Jun 25, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 004486-1 NY Primary

Addresses

Primary practice location

1013 W Beech St
Long Beach, NY 11561-1203

Mailing address

1013 W Beech St
Long Beach, NY 11561-1203
Phone (516) 431-7600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20131210000822 TX Practitioner - Physician Assistant 5991932386 Reassigns benefits to 2 organizations
I20230829001615 NY Practitioner - Physician Assistant 5991932386 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004486-1NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Maniilaq Association CurrentSince Oct 19, 2013 Accepting new patients
Beach & Surf Medical, PC Past Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335744000000",
    "number": "1578724290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 W BEECH ST",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115611203",
            "telephone_number": "516-431-7600",
            "fax_number": "516-431-7691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 W BEECH ST",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115611203",
            "telephone_number": "516-431-7600",
            "fax_number": "516-431-7691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JANET",
        "middle_name": "M. F.",
        "name_prefix": "Mrs.",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-25",
        "last_updated": "2012-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "004486-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, NY

Sources for this page

Verify at the official NPI Registry.