Individual provider Active NPI

Noah Seth Miller, DPT

  • Physical Therapist
  • Freehold, NJ
National Provider Identifier
1700136389
Registry record updated Oct 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
034763-1 Issued in NY
Practice address
55-77 Schanck Rd Ste B-17
Garden State Physical Therapy Group
Freehold, NJ 07728-2964
Phone
(908) 415-5414
NPI assigned
Sep 11, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 034763-1 NY Primary

Addresses

Primary practice location

55-77 Schanck Rd Ste B-17
Garden State Physical Therapy Group
Freehold, NJ 07728-2964

Mailing address

6 Homestead Cir
Marlboro, NJ 07746-1694
Phone (908) 415-5414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130104000301 NJ Practitioner - Physical Therapist in Private Practice 5991958654 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Garden State Therapy Cherry Hill PCGroup PAC ID 7517440589, 2 clinicians
Garden State Physical Therapy Group PCGroup PAC ID 8426366741, 18 clinicians

Practice addresses (Care Compare)

1990 Route 70 E
Suite 15
Cherry Hill, NJ 08003-1836
Phone (732) 414-6060

55 -77 Schanck Rd
Suite B 17
Freehold, NJ 07728-2964
Phone (732) 414-6060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
034763-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Garden State Physical Therapy Group PC Physical Therapist CurrentSince May 6, 2015 Accepting new patients
Garden State Therapy Cherry Hill PC Physical Therapist Past Accepting new patients

Locations

1503 Saint Georges Ave
Ste 101
Colonia, NJ 07067
Phone (732) 499-9449

1503 Saint Georges Ave
Ste 201
Colonia, NJ 07067
Phone (732) 382-0880

77 Schanck Rd
Ste B-17
Freehold, NJ 07728
Phone (201) 871-4000

25 E Willow St
Millburn, NJ 07041
Phone (973) 379-5055

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.

NPI Registry JSON

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

{
    "created_epoch": "1347321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476835200000",
    "number": "1700136389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 HOMESTEAD CIR",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "077461694",
            "telephone_number": "908-415-5414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55-77 SCHANCK RD STE B-17",
            "address_2": "GARDEN STATE PHYSICAL THERAPY GROUP",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282964",
            "telephone_number": "908-415-5414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "NOAH",
        "middle_name": "SETH",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-11",
        "last_updated": "2016-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "034763-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.