Active NPIIndividual providerSole proprietor

Dr. Kenneth D Miller, MD

Internal Medicine in Randolph, New Jersey

NPI Number1558441238
Practice location
16 Old Brookside Road, Randolph, NJ 07869
Fax
973-895-3310
Last updated
December 30, 2021

Kenneth D Miller is an Internal Medicine based in Randolph, NJ. Kenneth D Miller practices in Randolph, NJ and has the professional credentials of MD. The NPI Number for Kenneth D Miller is 1558441238 and holds a License No. MA34422 (NJ). The current practice location address for Kenneth D Miller is 16 Old Brookside Road, Randolph, NJ 07869 and can be reached out via phone at 973-895-4000 and via fax at 973-895-3310.

Provider Profile Details

NPI Number
1558441238
Provider Name
Kenneth D Miller
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
16 Old Brookside Road, Randolph, NJ 07869
Phone Number
973-895-4000
Fax Number
973-895-3310
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
Yes
Provider Enumeration Date
October 16, 2006
Last Update Date
December 30, 2021
Certification Date
December 30, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
16 Old Brookside Road
Randolph, NJ 07869
Zip
07869
Phone Number
973-895-4000
Fax Number
973-895-3310
Randolph, NJ 07869Get directions →

Provider Business Mailing Address Details

Address
Po Box 95000 Lb#7550
Philadelphia, PA 19195-7550
City
Philadelphia
State
PA
Zip
19195-7550
Phone Number
844-362-1735
Fax Number
973-290-7495

License Information

License Number
MA34422
License State
NJ
Taxonomy
Internal Medicine · 207R00000X · 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 Dr. Kenneth D Miller, MD?

The NPI number of Dr. Kenneth D Miller, MD is 1558441238. It was assigned on October 16, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Kenneth D Miller, MD?

Dr. Kenneth D Miller, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NJ under license number MA34422.

Where does Dr. Kenneth D Miller, MD practice?

The practice location is 16 Old Brookside Road, Randolph, NJ 07869. The office can be reached at 973-895-4000 (phone) or 973-895-3310 (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 1558441238 directly on the NPPES registry website.

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