Active NPI
Tameca Nichole Miller
- Family Nurse Practitioner
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F348525
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| F348525 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doral Medical and Multi Specialty Facility LLC | Current | Accepting new patients | |
| TBHC Medical Services PC | Current | Accepting new patients | |
| Medical Group of New York, P.C. | Family | Current | Accepting new patients |
| Doral Pharmacy LLC | Past | 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
- 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.
-
- Multi-Specialty Clinic/Center
- Brooklyn, NY
- NPI 1144693607
-
- Family Nurse Practitioner
- Eastchester, NY
- NPI 1487983516
-
- Family Medicine Physician
- Brooklyn, NY
- NPI 1508959743
-
- Community/Retail Pharmacy
- Brooklyn, NY
- NPI 1558051482
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.