Nicholas Joseph Miller, PA-C
Physician Assistant in Southampton, NY. Individual provider (NPI-1).
NPI number1881586014
StatusActive
Last updated in NPPESSep 24, 2026
Details
- NPI
- 1881586014
- Entity type
- Individual (NPI-1)
- Name
- Nicholas Joseph Miller
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 21, 2025
- Certification date
- Sep 24, 2026
- Last updated
- Sep 24, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 035821 | NY | Yes |
| 363AS0400X | Physician Assistant, Surgical | 035821 | NY |
Practice location
240 Meeting House LnSouthampton, NY 11968-5009
Phone 631-444-4233
Mailing address
1218 Avalon Pines DrCoram, NY 11727-5137
Phone 631-806-5932
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 10 Physician Assistant providers in Southampton · All 591 providers in Southampton
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