Organization Active NPI

Gary Miller MD PC

  • Neurology Physician
  • Brooklyn, NY
National Provider Identifier
1700172756
Registry record updated Jun 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
252497 Issued in NY
Legal business name
GARY MILLER MD PC
Practice address
1745 E 15TH St
Brooklyn, NY 11229-2084
Phone
(605) 370-1394
Fax
(718) 998-1760
NPI assigned
Jun 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2011

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

Authorized official

Name
Gary Miller, MD
Title
Owner
Phone
(605) 370-1394

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 252497 NY Primary

Addresses

Primary practice location

1745 E 15TH St
Brooklyn, NY 11229-2084

Mailing address

1745 E 15TH St
Brooklyn, NY 11229-2084
Phone (605) 370-1394

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309219200000",
    "number": "1700172756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1745 E 15TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112292084",
            "telephone_number": "605-370-1394",
            "fax_number": "718-998-1760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1745 E 15TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112292084",
            "telephone_number": "605-370-1394",
            "fax_number": "718-998-1760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY MILLER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-28",
        "last_updated": "2011-06-28",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-370-1394",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "252497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.