Individual provider Active NPI

Tameca Nichole Miller

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1730833435
Registry record updated Apr 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F348525 Issued in NY
Practice address
215 Park Ave S
New York, NY 10003-1603
Phone
(646) 602-8237
NPI assigned
Feb 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F348525 NY Primary

Addresses

Primary practice location

215 Park Ave S
New York, NY 10003-1603

Mailing address

215 Park Ave S
New York, NY 10003-1603
Phone (646) 602-8237

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220620001774 NY Practitioner - Nurse Practitioner 7810376985 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doral Medical and Multi Specialty Facility LLCGroup PAC ID 9830528645, 53 clinicians

Practice addresses (Care Compare)

1797 Pitkin Ave
Suite 2
Brooklyn, NY 11212-7844
Phone (718) 971-1944

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F348525NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Doral Medical and Multi Specialty Facility LLC CurrentSince Aug 1, 2025 Accepting new patients
TBHC Medical Services PC CurrentSince Nov 1, 2022 Accepting new patients
Medical Group of New York, P.C. Family CurrentSince May 23, 2022 Accepting new patients
Doral Pharmacy LLC PastSince Aug 1, 2025 Accepting new patients

Locations

107 S Country Rd
Bellport, NY 11713
Phone (631) 286-2222

1797 Pitkin Ave
Ste 2
Brooklyn, NY 11212
Phone (718) 367-2555

121 DeKalb Ave
Fl Main
Brooklyn, NY 11201

14 Hanover Pl
Brooklyn, NY 11201
Phone (718) 250-8866

121 DeKalb Ave
Brooklyn, NY 11201
Phone (718) 250-6604

5002 Flatlands Ave
Brooklyn, NY 11234
Phone (718) 971-1944

7960 Metropolitan Ave
Middle Village, NY 11379
Phone (718) 326-4910

215 Park Ave S
New York, NY 10003
Phone (212) 387-3827

Networks

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

Interoperability endpoints

  • Direct secure messaging: tmiller7349@prd.direct.tbh.org

Organizations & group practices 4

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": "1644451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650585600000",
    "number": "1730833435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 PARK AVE S",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100031603",
            "telephone_number": "646-602-8237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 PARK AVE S",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100031603",
            "telephone_number": "646-602-8237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "TAMECA",
        "middle_name": "NICHOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-10",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F348525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.