Active NPI
Miles Bradford Johnson
- Family Nurse Practitioner
- Camden, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 26NJ15270600
- Practice address
- 1000 Atlantic Ave
Camden, NJ 08104-1132 - Phone
- (856) 246-3060
- NPI assigned
- Feb 5, 2025
- Last updated
- Feb 5, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 | 26NJ15270600 | NJ | Primary |
Addresses
Primary practice location
1000 Atlantic Ave
Camden, NJ 08104-1132
Mailing address
16 Bromley CT
Atco, NJ 08004-2490
Phone (224) 730-3759
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- 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, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Bowman Dr
Voorhees, NJ 08043-9619
Phone (856) 247-3000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Physician Associates of South Jersey P C | Current | Accepting new patients | |
| Emergency Physician Services of New Jersey,Professional Association | Current | Accepting new patients |
Locations
100 Townsend Ave
Berlin, NJ 08009
Phone (856) 322-3000
200 Trenton Rd
Browns Mills, NJ 08015
Phone (609) 893-1200
1000 Atlantic Ave
Camden, NJ 08104
Phone (856) 246-3060
175 Madison Ave
Mount Holly, NJ 08060
Phone (609) 261-1660
100 Bowman Dr
Voorhees, NJ 08043
Phone (856) 247-3000
218A Sunset Rd
Willingboro, NJ 08046
Phone (609) 835-2900
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Voorhees, NJ
- NPI 1215965231
-
- Emergency Medicine Physician
- Mount Holly, NJ
- NPI 1831539568
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738713600000",
"number": "1841004314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 BROMLEY CT",
"city": "ATCO",
"state": "NJ",
"postal_code": "080042490",
"telephone_number": "224-730-3759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 ATLANTIC AVE",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "081041132",
"telephone_number": "856-246-3060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "MILES",
"middle_name": "BRADFORD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-02-05",
"last_updated": "2025-02-05",
"certification_date": "2025-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NJ",
"license": "26NJ15270600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Camden, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; 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.