Debra R Miller MD LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

DEBRA R MILLER MD LLC

Practice address

53 Granite St
New London, CT 06320-5945

Phone

(860) 447-1419

Fax

(860) 442-2604

NPI assigned

Dec 14, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Debra Rose Miller, M.D.

Title

Sole Member

Phone

(860) 447-1419

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1260748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260748800000",
    "number": "1619206034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 GRANITE ST",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063205945",
            "telephone_number": "860-447-1419",
            "fax_number": "860-442-2604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 GRANITE ST",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063205945",
            "telephone_number": "860-447-1419",
            "fax_number": "860-442-2604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBRA R MILLER MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-14",
        "last_updated": "2009-12-14",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "860-447-1419",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001361691",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason Darmanin
• Siri L Daulaire, MD
• Pamela Davies, MSW
• David Dean
• Myriam I Debaets, MD
• Jenine Decaprio Gesino, PA-C
• Gina M Decarli, LCSW
• Pamela Del Pozo-Waldron, APRN
• Brent Delabruere, PHARMD
• Madilynn Jane Delach, MS

• Dermatology Physician in New London, CT
• Providers in New London, CT by specialty
• Dermatology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.