Richard L Miller M.D.P.C..

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

122854-1 Issued in NY

Legal business name

RICHARD L MILLER M.D.P.C..

Practice address

200 Main St
Suite 5
Setauket, NY 11733-2918

Phone

(631) 751-7070

Fax

(631) 751-7662

NPI assigned

Mar 24, 2011

Organization subpart

No

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

Authorized official

Name

Richard L Miller, M.D.

Title

President

Phone

(631) 751-7070

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1300924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300924800000",
    "number": "1609175058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MAIN ST",
            "address_2": "SUITE 5",
            "city": "SETAUKET",
            "state": "NY",
            "postal_code": "117332918",
            "telephone_number": "631-751-7070",
            "fax_number": "631-751-7662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MAIN ST",
            "address_2": "SUITE 5",
            "city": "SETAUKET",
            "state": "NY",
            "postal_code": "117332918",
            "telephone_number": "631-751-7070",
            "fax_number": "631-751-7662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD L MILLER M.D.P.C..",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-24",
        "last_updated": "2011-03-24",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-751-7070",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "NY",
            "license": "122854-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dermatology Physician in Setauket, NY
• Providers in Setauket, NY by specialty
• Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2011; 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.