Theodore Miller, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

345051 Issued in NY

Practice address

179 Sullivan St
New York, NY 10012-2545

Phone

(212) 677-6788

Fax

(205) 273-3534

NPI assigned

Sep 25, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, PA, NJ3 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 3

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Ophelia Medical Group FL PAGroup PAC ID 7810398534, 103 clinicians

Ophelia Medical Group NJ PCGroup PAC ID 0547657397, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hospital for Special Surgery Hospital, New York, NY, CCN 330270

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3299/brand/1/csg/1/fhir/r4
• Direct secure messaging: theodore.miller.1@3299.direct.athenahealth.com

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

• Ophelia Medical Group NJ PC

  • Psychiatry Physician
  • Flanders, NJ
  • NPI 1346906179
  Medicare reassignment Care Compare group NPD
• Ophelia Medical Group FL, P.a.

  • Addiction Medicine (Family Medicine) Physician
  • Philadelphia, PA
  • NPI 1588244750

  NY

  Medicare reassignment Care Compare group
• Eura Health PLLC

  • Family Medicine Physician
  • New Haven, CT
  • NPI 1871423731
  NPD Authorized official
• Todd McNiff MD PC

  • Internal Medicine Physician
  • New York, NY
  • NPI 1730419284
  NPD
• Ophelia Medical Group, P.C.

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Philadelphia, PA
  • NPI 1376179150
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• HSS Westchester

  • Radiology Clinic/Center
  • White Plains, NY
  • NPI 1184159188

  Hospital

  Care Compare affiliation
• New York Society for Relief of the Ruptured and Crippled Maintaining T

  dba HSS West Side

  • Radiology Clinic/Center
  • New York, NY
  • NPI 1376032029

  Hospital

  Care Compare affiliation
• New York Society for Relief of the Ruptured and Crippled Maintaining T

  dba HSS Brooklyn Outpatient Center

  • Radiology Clinic/Center
  • Brooklyn, NY
  • NPI 1487200408

  Hospital

  Care Compare affiliation
• New York Society for Relief of the Ruptured and Crippled Maintaining T

  dba HSS Hudson Yards

  • Radiology Clinic/Center
  • New York, NY
  • NPI 1801443619

  Hospital

  Care Compare affiliation
• New York Society for the Relief of Ruptured & Crippled Maintaining

  dba HSS Southampton

  • Radiology Clinic/Center
  • Southampton, NY
  • NPI 1023705803

  Hospital

  Care Compare affiliation
• New York Society for the Relief of Ruptured & Crippled Maintaining

  dba Hospital for Special Surgery

  • General Acute Care Hospital
  • New York, NY
  • NPI 1598703019
  Care Compare affiliation
• New York Society for the Relief of the Ruptured and Crippled

  dba Hospital for Special Surgery

  • Radiology Clinic/Center
  • Uniondale, NY
  • NPI 1629504501

  Hospital

  Care Compare affiliation
• New York Society for the Relief of Ruptured & Crippled Maintaining

  dba HSS Paramus - Midland Ave

  • General Acute Care Hospital
  • Paramus, NJ
  • NPI 1447082003
  Care Compare affiliation
• New York Society for the Relief of the Ruptured and Crippled

  dba Hospital for Special Surgery

  • General Acute Care Hospital
  • Paramus, NJ
  • NPI 1184038663
  Care Compare affiliation
• New York Society for the Relief of the Ruptured and Crippled

  dba Hospital for Special Surgery

  • Radiology Clinic/Center
  • Stamford, CT
  • NPI 1821402306

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1569369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1598316002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 KNOB HILL DR",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065182448",
            "telephone_number": "720-235-7316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 SULLIVAN ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100122545",
            "telephone_number": "212-677-6788",
            "fax_number": "205-273-3534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "THEODORE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-25",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ15197700",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "14156",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP031741",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "345051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Miller, LMSW
• Suzanne Miller
• Sydney B Miller, DMD
• Tamari Andre Miller, MD
• Tameca Nichole Miller
• Theodore T. Miller, M.D.
• Tiffany Cornelia Miller, PH.D.
• Trevor Miller, M.D.
• Valerye NG Miller
• Vanesha L Miller, LP

• Family Nurse Practitioner in New York, NY
• Providers in New York, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.