Individual provider Active NPI

Jason Harris Miller, M.D.

  • Dermatology Physician
  • Freehold, NJ
National Provider Identifier
1679712418
Registry record updated Sep 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
25MA08560500 Issued in NJ
Practice address
77 Schanck Rd # 55
Suite B-3
Freehold, NJ 07728-2964
Phone
(732) 462-9800
Fax
(732) 308-1647
NPI assigned
Feb 18, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 25MA08560500 NJ Primary

Addresses

Primary practice location

77 Schanck Rd # 55
Suite B-3
Freehold, NJ 07728-2964

Mailing address

77 Schanck Rd # 55
Suite B-3
Freehold, NJ 07728-2964
Phone (732) 462-9800

Other identifiers 1

IdentifierTypeStateIssuer
158106CVROtherNJCMS-MEDICARE GROUP MEMBER PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA, NY3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20090806000605 NJ Practitioner - Dermatology 2769535822 Reassigns benefits to 1 organization
I20201211000479 PA Practitioner - Dermatology 2769535822 Reassigns benefits to 1 organization
I20230519001451 NY Practitioner - Dermatology 2769535822 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
New York Medical College, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Schweiger Dermatology PCGroup PAC ID 0143442806, 180 clinicians

Practice addresses (Care Compare)

315 E Northfield Rd
Suite 2a
Livingston, NJ 07039-4800
Phone (973) 878-0850

Hospital & facility affiliations

  • Centrastate Medical Center Hospital, Freehold, NJ, CCN 310111

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision16
Removal of skin lesions2905
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy927

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA08560500NJMDDermatology Physician

Practice roles (3 of 7)

OrganizationSpecialtyStatusNew patients
Pennsylvania Centre for Dermatology, LLC Dermatology CurrentSince Nov 1, 2020 Accepting new patients
Schweiger Dermatology, PC Dermatology CurrentSince Nov 30, 2017 Accepting new patients
Schweiger Dermatology PLLC Dermatology CurrentSince Mar 1, 2023 Accepting new patients

Locations

731 Lacey Rd
Ste 6
Forked River, NJ 08731
Phone (609) 400-3902

4 Paragon Way
Ste 300
Freehold, NJ 07728
Phone (732) 462-9800

51 Kent Rd
Howell, NJ 07731
Phone (732) 886-7503

315 E Northfield Rd
Ste 2A
Livingston, NJ 07039
Phone (973) 535-3200

712 E Bay Ave
Ste 18
Manahawkin, NJ 08050

310 Madison Ave
Ste 206
Morristown, NJ 07960

71 Union Ave
Ste 108
Rutherford, NJ 07070
Phone (201) 804-8900

368 Lakehurst Rd
Ste 201
Toms River, NJ 08755
Phone (732) 505-1500

2508 Western Ave
Altamont, NY 12009
Phone (518) 690-0177

5800 Heritage Landing Dr
Ste A
East Syracuse, NY 13057
Phone (315) 802-6779

11835 Queens Blvd
Lowr
Forest Hills, NY 11375
Phone (718) 408-4915

4535 Southwestern Blvd
Ste 202
Hamburg, NY 14075
Phone (607) 729-2777

774 Fairmount Ave
Jamestown, NY 14701
Phone (716) 338-0668

2701 Queens Plz N
Fl 10
Long Island City, NY 11101
Phone (203) 996-6379

260 E Middle Country Rd
Ste 208
Smithtown, NY 11787
Phone (631) 863-3223

50 Monument Rd
Ste 301
Bala Cynwyd, PA 19004
Phone (610) 668-2570

860 1st Ave
Ste 8B
Kng of Prussa, PA 19406
Phone (610) 265-1166

822 Pine St
Ste 2A
Philadelphia, PA 19107
Phone (267) 519-0154

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: jmiller425317@direct.ahsys.org

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1234915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251763200000",
    "number": "1679712418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 SCHANCK RD # 55",
            "address_2": "SUITE B-3",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282964",
            "telephone_number": "732-462-9800",
            "fax_number": "732-308-1647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 SCHANCK RD # 55",
            "address_2": "SUITE B-3",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282964",
            "telephone_number": "732-462-9800",
            "fax_number": "732-308-1647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JASON",
        "middle_name": "HARRIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-18",
        "last_updated": "2009-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "25MA08560500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS-MEDICARE GROUP MEMBER PTAN",
            "identifier": "158106CVR",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

Verify at the official NPI Registry.