Individual provider Active NPI

Steven E Miller, D.O.

  • Pediatrics Physician
  • Tinton Falls, NJ
National Provider Identifier
1942298096
Registry record updated Feb 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MB48334 Issued in NJ
Practice address
55 N Gilbert St
Suite 2101
Tinton Falls, NJ 07701-4904
Phone
(732) 842-6677
Fax
(732) 530-2946
NPI assigned
Oct 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MB48334 NJ Primary

Addresses

Primary practice location

55 N Gilbert St
Suite 2101
Tinton Falls, NJ 07701-4904

Mailing address

55 N Gilbert St
Suite 2101
Tinton Falls, NJ 07701-4904
Phone (732) 842-6677

Other identifiers 1

IdentifierTypeStateIssuer
6164404MedicaidNJ

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 Osteopathy

State licenses

LicenseStateTypeSpecialty
MB48334NJMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jersey Shore Navesink Pediatrics Pediatrics Past Accepting new patients
Hackensack Meridian Health Medical Group - Primary Care PC Pediatrics PastSince Jul 1, 2022 Accepting new patients
HMH Hospitals Corporation Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: steven.miller@direct.hackensackmeridian.org
  • FHIR API: https://mepic.hmhn.org/fhir/api/FHIR/R4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266796800000",
    "number": "1942298096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 N GILBERT ST",
            "address_2": "SUITE 2101",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077014904",
            "telephone_number": "732-842-6677",
            "fax_number": "732-530-2946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 N GILBERT ST",
            "address_2": "SUITE 2101",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077014904",
            "telephone_number": "732-842-6677",
            "fax_number": "732-530-2946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "STEVEN",
        "middle_name": "E",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2010-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "MB48334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6164404",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinton Falls, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.