Millville Internal Medicine, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MILLVILLE INTERNAL MEDICINE, LLC

Practice address

608 N High St
Millville, NJ 08332-3025

Phone

(856) 825-8080

Fax

(856) 327-8571

NPI assigned

Jan 3, 2007

Organization subpart

No

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

Authorized official

Name

Linda Cerione

Title

Manager

Phone

(856) 825-8080

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Emanuel Petroulakis

  • Internal Medicine Physician
  • Millville, NJ
  • NPI 1801953310
  NPD (past)
• Maria Petroulakis

  • Internal Medicine Physician
  • Lakewood, CO
  • NPI 1316004831
  NPD (past)

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202860800000",
    "number": "1992862429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 N HIGH ST",
            "city": "MILLVILLE",
            "state": "NJ",
            "postal_code": "083323025",
            "telephone_number": "856-825-8080",
            "fax_number": "856-327-8571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 N HIGH ST",
            "city": "MILLVILLE",
            "state": "NJ",
            "postal_code": "083323025",
            "telephone_number": "856-825-8080",
            "fax_number": "856-327-8571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLVILLE INTERNAL MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2008-02-13",
        "status": "A",
        "authorized_official_last_name": "CERIONE",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "856-825-8080"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol L. Miller, LCSW, MFT
• Millville Board of Education
• Millville Chiropractic Center
• Millville Family Dental PA
• Millville Internal and Specialty Medicine LLC
• Millville Medical Center
• Millville Meridian, LP (Millville Center)
• Millville Rescue Squad
• Joseph Michael Misyak, MSW, CSW, LCADC
• Randy Mitchell

• Internal Medicine Physician in Millville, NJ
• Providers in Millville, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; 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.