DYLAN MILLER PA-C NPI 1386405405

NPI Information

  • NPI: 1386405405
  • Provider Name: DYLAN MILLER, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 111 CENTRAL AVE
    NEWARK, NJ
    ZIP 07102
  • Phone: (973) 877-5000

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NPI Details

Dylan Miller, PA-C is a medical physician assistant in Newark, NJ with 2 years of experience. Dylan Miller, PA-C NPI is 1386405405. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

111 CENTRAL AVE
NEWARK, NJ
ZIP 07102-909
Phone: (973) 877-5000

The NPI 1386405405 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/16/2024 and was last updated on 2/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedicalNo
2363AM0700XPhysician AssistantMedical25MP00860300NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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