Active NPI
Jacqueline M Miller, M.D.
- Pediatrics Physician
- Cambridge, MA
National Provider Identifier
1730401159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD068631L
- Practice address
- 325 Binney St
Cambridge, MA 02142-1008 - Phone
- (617) 427-3732
- NPI assigned
- Feb 26, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD068631L | PA | Primary |
Addresses
Primary practice location
325 Binney St
Cambridge, MA 02142-1008
Mailing address
7550 Wisconsin Ave FL 7
Bethesda, MD 20814-3559
Phone (617) 417-3732
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD068631L | PA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731024000000",
"number": "1730401159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7550 WISCONSIN AVE FL 7",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208143559",
"telephone_number": "617-417-3732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 BINNEY ST",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021421008",
"telephone_number": "617-427-3732"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "JACQUELINE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-02-26",
"last_updated": "2024-11-08",
"certification_date": "2024-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD068631L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.