Active NPI
Alan N Miller, MD
- Psychiatry Physician
- Cherry Hill, NJ
National Provider Identifier
1902902034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 25MA04545000
- Practice address
- 1930 Marlton Pike E
Q 32
Cherry Hill, NJ 08003-2150 - Phone
- (856) 751-4108
- Fax
- (856) 810-9688
- NPI assigned
- Sep 16, 2006
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 25MA04545000 | NJ | Primary |
Addresses
Primary practice location
1930 Marlton Pike E
Q 32
Cherry Hill, NJ 08003-2150
Mailing address
1930 Marlton Pike E
Q-32
Cherry Hill, NJ 08003-2150
Phone (856) 751-4108
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4460324 | Other | PA | AETNA |
| 2051559000 | Other | PA | IBC |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA04545000 | NJ | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192665600000",
"number": "1902902034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1930 MARLTON PIKE E",
"address_2": "Q-32",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080032150",
"telephone_number": "856-751-4108",
"fax_number": "856-810-9688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1930 MARLTON PIKE E",
"address_2": "Q 32",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080032150",
"telephone_number": "856-751-4108",
"fax_number": "856-810-9688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "ALAN",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-16",
"last_updated": "2007-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NJ",
"license": "25MA04545000",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4460324",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IBC",
"identifier": "2051559000",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cherry Hill, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.