NELSON MILLER NPI 1548264153

NPI Information

NPI: 1548264153
Provider Name: NELSON MILLER
Classification: Specialist - 174400000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1040 STATE ST
SCHENECTADY, NY
ZIP 12307
Phone: (518) 374-5353
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Nelson Miller is a specialist in Schenectady, NY with 48 years of experience. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Nelson Miller NPI is 1548264153. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduation Year:1976

The provider's business location address is:

1040 STATE ST
SCHENECTADY, NY
ZIP 12307-508
Phone: (518) 374-5353

The NPI 1548264153 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 6/10/2005 and was last updated on 12/15/2011.

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
1	174400000X	Specialist		131823	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	39D201	OTHER	NEW YORK	BLUE CROSS
2	040426007600	OTHER	NEW YORK	FIDELIS
3	33535D	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK
4	10001377	OTHER	NEW YORK	CDPHP
5	000416190002	OTHER	NEW YORK	BLUE SHIELD
6	160012995	OTHER	NEW YORK	RAILROAD MEDICARE
7	00486571	MEDICAID	NEW YORK
8	15155	OTHER	NEW YORK	MVP
9	D01972	MEDICARE UPIN	NEW YORK

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: 4/28/2024

NPI Synchronization or Removal

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