Active NPIIndividual provider

Kenneth Miller, MD FACC FSCAI

Internal Medicine, Cardiovascular Disease in Montclair, New Jersey

NPI Number1043212798
Practice location
62 S Fullerton Ave, Montclair, NJ 07042-2629
Fax
973-746-0088
Last updated
January 6, 2011

Kenneth Miller is an Internal Medicine, Cardiovascular Disease based in Montclair, NJ. Kenneth Miller practices in Montclair, NJ and has the professional credentials of MD FACC FSCAI. The NPI Number for Kenneth Miller is 1043212798 and holds a License No. 103421 (NJ). The current practice location address for Kenneth Miller is 62 S Fullerton Ave, Montclair, NJ 07042-2629 and can be reached out via phone at 973-746-8585 and via fax at 973-746-0088.

Provider Profile Details

NPI Number
1043212798
Provider Name
Kenneth Miller
Credential
MD FACC FSCAI
Provider Entity Type
Individual
Gender
Male
Address
62 S Fullerton Ave, Montclair, NJ 07042-2629
Phone Number
973-746-8585
Fax Number
973-746-0088
Primary Taxonomy
Internal Medicine, Cardiovascular Disease · 207RC0000X
Sole Proprietor
No
Provider Enumeration Date
August 12, 2005
Last Update Date
January 6, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
62 S Fullerton Ave
Montclair, NJ 07042-2629
Zip
07042-2629
Phone Number
973-746-8585
Fax Number
973-746-0088
Montclair, NJ 07042Get directions →

Provider Business Mailing Address Details

Address
62 S Fullerton Ave
Montclair, NJ 07042-2629
City
Montclair
State
NJ
Zip
07042-2629
Phone Number
973-746-8585
Fax Number
973-746-0088

License Information

License Number (1)
103421
License State (1)
NJ
Taxonomy (1)
Internal Medicine · 207R00000X
License Number (2)
103421
License State (2)
NJ
Taxonomy (2)
Internal Medicine, Cardiovascular Disease · 207RC0000X · Primary
License Number (3)
103421
License State (3)
NJ

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kenneth Miller, MD FACC FSCAI?

The NPI number of Kenneth Miller, MD FACC FSCAI is 1043212798. It was assigned on August 12, 2005 and is currently active in the NPPES registry.

What is the specialty of Kenneth Miller, MD FACC FSCAI?

Kenneth Miller, MD FACC FSCAI is registered under the primary taxonomy Internal Medicine, Cardiovascular Disease (code 207RC0000X), licensed in NJ under license number 103421.

Where does Kenneth Miller, MD FACC FSCAI practice?

The practice location is 62 S Fullerton Ave, Montclair, NJ 07042-2629. The office can be reached at 973-746-8585 (phone) or 973-746-0088 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043212798 directly on the NPPES registry website.

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