Individual provider Active NPI

Andrew Miller, M.D.

  • Orthopaedic Surgery Physician
  • Corning, NY
National Provider Identifier
1801868419
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
168992-1 Issued in NY
Practice address
130 Center Way
Corning, NY 14830-2255
Phone
(607) 936-9971
Fax
(607) 936-2600
NPI assigned
Feb 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 168992-1 NY Primary

Addresses

Primary practice location

130 Center Way
Corning, NY 14830-2255

Mailing address

1 Guthrie SQ
Sayre, PA 18840-1625
Phone (570) 888-5858

Other identifiers 2

IdentifierTypeStateIssuer
1013816750001MedicaidPA
01755619MedicaidNY

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040526000314 NY Practitioner - Orthopedic Surgery 1759362718 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
168992-1NYMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Medical Concepts PC CurrentSince Apr 1, 2015 Accepting new patients
Advanced Medical Concepts PC CurrentSince Apr 1, 2015 Accepting new patients
University Physicians of Brooklyn, Inc. Orthopaedic Surgery CurrentSince Aug 1, 2011 Accepting new patients
University Physicians of Brooklyn, Inc. CurrentSince Aug 1, 2011 Accepting new patients
Ahava Medical and Rehabilitation Center, LLC CurrentSince Dec 31, 2016 Accepting new patients
Medalliance Medical Health Services Inc CurrentSince Nov 1, 2018 Accepting new patients
University Physicians of Brooklyn, Inc. Current Accepting new patients
Forest Hills Orthopedic Group P.C Orthopaedic Surgery PastSince Nov 1, 1998 Accepting new patients
Forest Hills Orthopedic Group PC Orthopaedic Surgery Past Accepting new patients
Brook Orthopedic Associates P C Past Accepting new patients

Locations

625 E Fordham Rd
Bronx, NY 10458
Phone (718) 409-3433

506 6th St
Brooklyn, NY 11215
Phone (718) 780-3279

1 Brookdale Plz
#152
Brooklyn, NY 11212
Phone (718) 345-4900

16 Sumner Pl
Brooklyn, NY 11206
Phone (718) 336-9500

450 Clarkson Ave
Brooklyn, NY 11203
Phone (718) 270-1603

2555 Nostrand Ave
Brooklyn, NY 11210
Phone 7189518800108

374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485

4500 Parsons Blvd
Flushing, NY 11355
Phone (718) 670-5631

16110 Jamaica Ave
Ste 301
Jamaica, NY 11432
Phone (212) 404-8080

Interoperability endpoints

  • Direct secure messaging: andrewmiller@sunydmc.allscriptsdirect.net

Organizations & group practices 11

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": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214265600000",
    "number": "1801868419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GUTHRIE SQ",
            "city": "SAYRE",
            "state": "PA",
            "postal_code": "188401625",
            "telephone_number": "570-888-5858",
            "fax_number": "570-882-3007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 CENTER WAY",
            "city": "CORNING",
            "state": "NY",
            "postal_code": "148302255",
            "telephone_number": "607-936-9971",
            "fax_number": "607-936-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2008-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "168992-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013816750001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01755619",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corning, NY

Sources for this page

Verify at the official NPI Registry.