Sheldon W. Miller DPM PC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

N004644 Issued in NY

Legal business name

SHELDON W. MILLER DPM PC

Practice address

15 Beach 105TH St
Rockaway Park, NY 11694-2640

Phone

(718) 474-0899

NPI assigned

Mar 24, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Sheldon Miller, D.P.M.NPI 1932280856

Title

President

Phone

(718) 474-0899

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sheldon Miller, DPM

  • Podiatrist
  • Rockaway Park, NY
  • NPI 1932280856
  Medicare reassignment NPD Authorized official
• Rafael Yakutilov, M.D.

  • Neurology Physician
  • Rockaway Park, NY
  • NPI 1003811720
  NPD (past)

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239062400000",
    "number": "1942472584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 BEACH 105TH ST",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "116942640",
            "telephone_number": "718-474-0899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 BEACH 105TH ST",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "116942640",
            "telephone_number": "718-474-0899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELDON W. MILLER DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-24",
        "last_updated": "2009-04-07",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "SHELDON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-474-0899",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N004644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01179973",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Serenity Comfort Care & Family Services
• Myrtz Melody Revesencio Sevilla
• Darshi Shah
• Ahmed Shakshouk
• Samina Amjad Sheikh, MASTERS IN EDUCATION
• Nia Jane'T Sherard
• Maka Giorgievna Shermadini, PTA
• Shibrah M. Jamil, MD, P.C.
• John Richard Shure, D.D.S.
• Dilranie Singh, M.S.,OTRL

• Podiatrist in Rockaway Park, NY
• Providers in Rockaway Park, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.