Active NPI
Ricardo a. Miller Nurse Practitioner in Psychiatry, PLLC
- Nurse Practitioner
- Valley Stream, NY
National Provider Identifier
1699340414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- RICARDO A. MILLER NURSE PRACTITIONER IN PSYCHIATRY, PLLC
- Practice address
- 115 S Corona Ave
Valley Stream, NY 11580-6217 - Phone
- (516) 568-7032
- NPI assigned
- May 24, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ricardo Miller
- Title
- Owner
- Phone
- (516) 568-7032
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | Primary |
Addresses
Primary practice location
115 S Corona Ave
Valley Stream, NY 11580-6217
Mailing address
115 S Corona Ave
Valley Stream, NY 11580-6217
Phone (516) 568-7032
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02866306 | Medicaid | NY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621814400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1621814400000",
"number": "1699340414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 S CORONA AVE",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115806217",
"telephone_number": "516-568-7032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 S CORONA AVE",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115806217",
"telephone_number": "516-568-7032"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICARDO A. MILLER NURSE PRACTITIONER IN PSYCHIATRY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-24",
"last_updated": "2021-05-24",
"certification_date": "2021-05-24",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "RICARDO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "516-568-7032"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02866306",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Valley Stream, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.