Active NPI
Chadwick Wyatt Miller
- Home Modifications Contractor
- Williamstown, NJ
National Provider Identifier
1801643531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Modifications Contractor
- License
- 13VH12988400
- Practice address
- 22 Comfort Rd
Williamstown, NJ 08094-2969 - Phone
- (561) 702-5676
- NPI assigned
- May 1, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Home Modifications Contractor | 171WH0202X | 13VH12988400 | NJ | Primary |
Addresses
Primary practice location
22 Comfort Rd
Williamstown, NJ 08094-2969
Mailing address
22 Comfort Rd
Williamstown, NJ 08094-2969
Phone (561) 702-5676
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13VH12988400 | NJ | MD | Home Modifications Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714521600000",
"number": "1801643531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 COMFORT RD",
"city": "WILLIAMSTOWN",
"state": "NJ",
"postal_code": "080942969",
"telephone_number": "561-702-5676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 COMFORT RD",
"city": "WILLIAMSTOWN",
"state": "NJ",
"postal_code": "080942969",
"telephone_number": "561-702-5676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "CHADWICK",
"middle_name": "WYATT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-05-01",
"last_updated": "2024-05-01",
"certification_date": "2024-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "171WH0202X",
"taxonomy_group": "",
"desc": "Contractor, Home Modifications",
"state": "NJ",
"license": "13VH12988400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Williamstown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.