Lisa Ann Miller, M.D.

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

MA059257 Issued in NJ

Practice address

170 Prospect Ave
Suite 4
Hackensack, NJ 07601-1820

Phone

(201) 488-2288

Fax

(201) 488-4498

NPI assigned

Mar 3, 2006

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: lisaann.miller.1@24719.direct.athenahealth.com

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344816000000",
    "number": "1609843176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 PROSPECT AVE",
            "address_2": "SUITE 4",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011820",
            "telephone_number": "201-488-2288",
            "fax_number": "201-488-4498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 PROSPECT AVE",
            "address_2": "SUITE 4",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011820",
            "telephone_number": "201-488-2288",
            "fax_number": "201-488-4498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "LISA ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-03",
        "last_updated": "2012-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NJ",
            "license": "MA059257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Millennium Medical Care PC
• Chae Danielle Miller-Westfield, NP
• Ann M Miller, MD
• Danielle Cellini Miller, PNP
• Erin Miller, P.A. - C
• Michelle Miller
• Mitchell A Miller, MD
• Robert James Miller, PH.D
• Asher Millman, PA-C
• Samuel J Min, PT

• Gynecology Physician in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Gynecology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; 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.