Individual provider Active NPI

Jeffrey M Miller, DPM

  • Podiatrist
  • Brooklyn, NY
National Provider Identifier
1811909393
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
VOS987 Issued in NY
Practice address
2075 Flatbush Ave
Brooklyn, NY 11234
Phone
(718) 968-3338
Fax
(718) 351-4459
NPI assigned
Aug 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X VOS987 NY Primary

Addresses

Primary practice location

2075 Flatbush Ave
Brooklyn, NY 11234

Mailing address

545 Neptune Ave
Apt 12a
Brooklyn, NY 11224
Phone (718) 373-9061

Other identifiers 1

IdentifierTypeStateIssuer
02637369MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040706000787 NY Practitioner - Podiatry 1759368921 Practice locations: Brooklyn, NY; Staten Island, NY
O20100930021805 NY DME Supplier - Physician - Podiatry 8921219387 Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2002
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2075 Flatbush Ave
Brooklyn, NY 11234-4340
Phone (718) 968-3338

347 New Dorp LN
Staten Island, NY 10306-3007
Phone (718) 980-2255

Hospital & facility affiliations

  • Staten Island University Hospital Hospital, Staten Island, NY, CCN 330160

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue97
Removal of skin lesions36
Removal of nail tissue3309
Removal or shaving of skin growth1568

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005987NYMDAcupuncturist
VOS987NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Talia Shwer Podiatry PC Podiatrist PastSince Mar 1, 2020 Accepting new patients
North Shore-Lij Medical PC Past Accepting new patients
Talia Shwer Podiatry PC Podiatrist PastSince Mar 1, 2020 Accepting new patients

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1811909393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 NEPTUNE AVE",
            "address_2": "APT 12A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11224",
            "telephone_number": "718-373-9061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 FLATBUSH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11234",
            "telephone_number": "718-968-3338",
            "fax_number": "718-351-4459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JEFFREY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "VOS987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02637369",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.