Dylan Miller, PA-C
Physician Assistant, Medical in Newark, New Jersey
1386405405- Practice location
- 111 Central Ave, Newark, NJ 07102-1909
- Phone
- 973-877-5000
- Fax
- —
- Last updated
- February 11, 2025
Dylan Miller is a Physician Assistant, Medical based in Newark, NJ. Dylan Miller practices in Newark, NJ and has the professional credentials of PA-C. The NPI Number for Dylan Miller is 1386405405 and holds a License No. 25MP00860300 (NJ). The current practice location address for Dylan Miller is 111 Central Ave, Newark, NJ 07102-1909 and can be reached out via phone at 973-877-5000.
Provider Profile Details
- NPI Number
- 1386405405
- Provider Name
- Dylan Miller
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 111 Central Ave, Newark, NJ 07102-1909
- Phone Number
- 973-877-5000
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- January 16, 2024
- Last Update Date
- February 11, 2025
- Certification Date
- February 11, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 111 Central Ave
Newark, NJ 07102-1909 - City
- Newark
- State
- New Jersey
- Zip
- 07102-1909
- Phone Number
- 973-877-5000
Provider Business Mailing Address Details
- Address
- 49 Lovel CT Unit A
Nutley, NJ 07110-5381 - City
- Nutley
- State
- NJ
- Zip
- 07110-5381
- Phone Number
- 702-622-9635
License Information
- Taxonomy (1)
- Physician Assistant, Medical · 363AM0700X
- License Number (2)
- 25MP00860300
- License State (2)
- NJ
- Taxonomy (2)
- Physician Assistant, Medical · 363AM0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Dylan Miller, PA-C?
The NPI number of Dylan Miller, PA-C is 1386405405. It was assigned on January 16, 2024 and is currently active in the NPPES registry.
What is the specialty of Dylan Miller, PA-C?
Dylan Miller, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in NJ under license number 25MP00860300.
Where does Dylan Miller, PA-C practice?
The practice location is 111 Central Ave, Newark, NJ 07102-1909. The office can be reached at 973-877-5000 (phone).
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 1386405405 directly on the NPPES registry website.