John Joseph Millili III, DO

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

25MB09864800 Issued in NJ

Practice address

2605 Shore Rd
Northfield, NJ 08225-2136

Phone

(609) 365-5300

Fax

(609) 365-5306

NPI assigned

Jun 15, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Surgery

Education

Philadelphia College of Osteopathic Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shore Specialty ConsultantsGroup PAC ID 1951613652, 42 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bayada Home Health Care, Inc. Home health agency, Egg Harbor Township, NJ, CCN 317066
• Shore Medical Center Hospital, Somers Point, NJ, CCN 310047

Merit-based Incentive Payment System (MIPS)

Final score

86.93 of 100Reported as group

Quality

82.11

Promoting interoperability

100

Improvement activities

40

Cost

68.95

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: john.millili.1@4024.direct.athenahealth.com

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.

• Shore Specialty Consultants

  • Multi-Specialty Clinic/Center
  • Somers Point, NJ
  • NPI 1962808519
  Medicare reassignment Care Compare group NPD

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

• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Egg Harbor Township, NJ
  • NPI 1922820901
  Care Compare affiliation
• Shore Memorial Hospital

  • General Acute Care Hospital
  • Somers Point, NJ
  • NPI 1629070149
  Care Compare affiliation

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

{
    "created_epoch": "1308096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1912292186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 E. NEW YORK AVE",
            "address_2": "4TH FLOOR - SPG",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "08244",
            "telephone_number": "609-653-3994",
            "fax_number": "609-926-4311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 SHORE RD",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082252136",
            "telephone_number": "609-365-5300",
            "fax_number": "609-365-5306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLILI",
        "first_name": "JOHN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-15",
        "last_updated": "2021-02-03",
        "certification_date": "2021-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "OT014247",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MB09864800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Melano, NTC
• Courtenay Dawn Menet, P.T.
• Mid-Atlantic Rehabilitation Associates P a
• Christine A Miller, LCSW
• Luann A Miller, LPC
• Dacole Mincey
• Mindtech Behavioral Health LLC
• Jeisy Mitre, LCSW
• Jason Mittleman, DC
• Marcus Kane Molyneux

• Surgery Physician in Northfield, NJ
• Providers in Northfield, NJ by specialty
• Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; 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.

Verify at the official NPI Registry.