Look up the most recent NPI and PECOS records

Jennifer Miller

Social Worker

Behavioral Health & Social Service Providers

93 W Palisade Ave, Englewood, NJ 07631-2611

PECOS Enrollment

Based on the most recent information from CMS, provider Jennifer Miller is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 11:47 AM.

Profile Details

Provider ID
1801219498
Provider Type
Individual
Full Name
Miller, Jennifer
Title
Mrs.

Gender
Female
Sole Proprietor
Yes
Enumeration Date
2/3/2014
Last Updated
2/3/2014

Contact Information

Practice Location

93 W Palisade Ave, Englewood, NJ 07631-2611

(201) 567-0500

(201) 567-9335

Mailing Location

93 W Palisade Ave, Englewood, NJ 07631-2611

(201) 567-0500

(201) 567-9335

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 44SL05847000 New Jersey

Jennifer Miller

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Rosenfelt, Merle Lynne

Sokoloff, Lisa

Douglas, Miko E

Ulloa De La Cruz, Raphy Oniel

Yates, Julie B.

Seymour, Larissa

Elberger, Anna

Kavanagh, Dorian Jane

Deren, Nancy Eileen

Nunez, Maria Camille B