Martin Miller, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X005879 Issued in NY

Practice address

1050 Old Nichols Rd
Islandia, NY 11749-5026

Phone

(631) 646-2433

Fax

(631) 249-1793

NPI assigned

Jan 19, 2007

Sex

Male

Sole proprietor

Yes

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

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Suffolk Physical Therapy & Chiropractic, PLLC

  • Chiropractor
  • Melville, NY
  • NPI 1417564253
  Medicare reassignment NPD
• Community Medical Wellness PC

  • Pain Medicine Physician
  • Port Jefferson Station, NY
  • NPI 1073002473
  NPD (past)
• Uptown Healthcare Management Inc.

  dba New York Neuro & Rehab Center

  • Podiatrist
  • New York, NY
  • NPI 1093742355
  NPD (past)

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1639222987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1359",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117470308",
            "telephone_number": "631-249-0011",
            "fax_number": "631-249-1793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 OLD NICHOLS RD",
            "city": "ISLANDIA",
            "state": "NY",
            "postal_code": "117495026",
            "telephone_number": "631-646-2433",
            "fax_number": "631-249-1793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X005879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Metropolitan Urological Specialist
• Michele Rubin MD,PC. (Islandia Open MRI and Imaging)
• Mid-Suffolk Chiropractic P.C.
• Mid-Suffolk Pediatric Associates, P.C.
• Constantina Miller, PSY.D.
• Julie Modavis, LCSW
• Montauk Medical Testing Services PC
• Ana Eulalia Morales
• Jessica Morales
• Emily Moss, PA-C

• Chiropractor in Islandia, NY
• Providers in Islandia, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.