Edward J Miller Jr., D.M.D.

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

004671 Issued in NY

Practice address

121 E 60TH St
Suite 7a
New York, NY 10022-1117

Phone

(212) 838-5895

Fax

(212) 838-6007

NPI assigned

Jan 4, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Oral Surgery

Education

Univ of Pennsylvania School of Dental Medicine, 1992

Medicare assignment

May accept Medicare assignment

Group practices

Northeast Implant and Oral Surgery, PCGroup PAC ID 7012013790, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Northeast Implant & Oral Surgery, PC

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Danbury, CT
  • NPI 1215152574

  NY

  Medicare reassignment Care Compare group
• Steven H. Cho DDS, PLLC

  • Oral & Maxillofacial Surgery (D.M.D.)
  • New York, NY
  • NPI 1558357533

  Oral and Maxillofacial Surgery

  NPD (past)

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441152000000",
    "number": "1649327644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 E 60TH ST",
            "address_2": "SUITE 7A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221117",
            "telephone_number": "212-838-5895",
            "fax_number": "212-838-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 E 60TH ST",
            "address_2": "SUITE 7A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221117",
            "telephone_number": "212-838-5895",
            "fax_number": "212-838-6007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "EDWARD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2015-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "044671",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NY",
            "license": "004671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis K Miller, MD
• Derek Miller, LCSW
• Dominique Miller, LCSW
• Doria Miller, LCSW
• Dorothy Anne Miller, MD
• Elisabeth Miller, PT, DPT
• Elissa Jane Miller, MD, MPH
• Elizabeth Anne Miller, M.D.
• Elizabeth Iris Miller
• Emily Miller, PA

• Oral & Maxillofacial Surgery (D.M.D.) in New York, NY
• Providers in New York, NY by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2015; 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.
• 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.