Active NPIIndividual providerSole proprietor

Mr. David S Miller, PA

Physician Assistant in Maywood, New Jersey

NPI Number1417055369
Practice location
255 W Spring Valley Ave, Suite 101, Maywood, NJ 07607
Fax
919-425-0478
Last updated
October 17, 2023

David S Miller is a Physician Assistant based in Maywood, NJ. David S Miller practices in Maywood, NJ and has the professional credentials of PA. The NPI Number for David S Miller is 1417055369 and holds a License No. 25MP00168100 (NJ). The current practice location address for David S Miller is 255 W Spring Valley Ave, Suite 101, Maywood, NJ 07607 and can be reached out via phone at 973-429-6991 and via fax at 919-425-0478.

Provider Profile Details

NPI Number
1417055369
Provider Name
David S Miller
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
255 W Spring Valley Ave, Suite 101, Maywood, NJ 07607
Phone Number
973-429-6991
Fax Number
919-425-0478
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
Yes
Provider Enumeration Date
September 21, 2006
Last Update Date
October 17, 2023
Certification Date
October 17, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
255 W Spring Valley Ave
Suite 101
Maywood, NJ 07607
Zip
07607
Phone Number
973-429-6991
Fax Number
919-425-0478
Maywood, NJ 07607Get directions →

Provider Business Mailing Address Details

Address
85 Martha RD
Harrington Park, NJ 07640-1852
City
Harrington Park
State
NJ
Zip
07640-1852
Phone Number
973-735-4864
Fax Number
914-302-0060

License Information

License Number
25MP00168100
License State
NJ
Taxonomy
Physician Assistant · 363A00000X · Primary

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 Mr. David S Miller, PA?

The NPI number of Mr. David S Miller, PA is 1417055369. It was assigned on September 21, 2006 and is currently active in the NPPES registry.

What is the specialty of Mr. David S Miller, PA?

Mr. David S Miller, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00168100.

Where does Mr. David S Miller, PA practice?

The practice location is 255 W Spring Valley Ave, Suite 101, Maywood, NJ 07607. The office can be reached at 973-429-6991 (phone) or 919-425-0478 (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 1417055369 directly on the NPPES registry website.

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