Active NPI
Deon Miller
- Emergency Medicine Physician
- Perth Amboy, NJ
National Provider Identifier
1619310570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 25MB09234400
- Practice address
- 530 New Brunswick Ave
Perth Amboy, NJ 08861-3654 - Phone
- (732) 442-3700
- NPI assigned
- Apr 10, 2013
- Last updated
- Apr 10, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 25MB09234400 | NJ | Primary |
Addresses
Primary practice location
530 New Brunswick Ave
Perth Amboy, NJ 08861-3654
Mailing address
1208 Holland Dr
Somerset, NJ 08873-4680
Phone (908) 285-0587
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Organizations & group practices 1
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.
-
- Emergency Medicine Physician
- Blue Ridge, GA
- NPI 1174024376
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365552000000",
"number": "1619310570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1208 HOLLAND DR",
"city": "SOMERSET",
"state": "NJ",
"postal_code": "088734680",
"telephone_number": "908-285-0587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 NEW BRUNSWICK AVE",
"city": "PERTH AMBOY",
"state": "NJ",
"postal_code": "088613654",
"telephone_number": "732-442-3700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "DEON",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-10",
"last_updated": "2013-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NJ",
"license": "25MB09234400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Perth Amboy, NJ
- Fatima Naz Mian, MD
- Middlesex County Stem Charter School
- Middlesex Physical Therapy Services Inc.
- Midpoint Health Care Services, Inc.
- Milestone Associates in Mental Health LLC (Mental Health Of Associates Incorporation)
- Stephany Minacapelli, RN
- Resham Qayum Mirza, MD
- Arunesh Kumar Mishra, M.D.
- Michael D Moll, PHARMD
- Angelica Montanez, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.