Healthcare Provider Details

I. General information

NPI: 1669339313
Provider Name (Legal Business Name): JOHN MILLER JR. MD, JD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/06/2026
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

798 LIVINGSTON CT
PARAMUS NJ
07652-4251
US

IV. Provider business mailing address

798 LIVINGSTON CT
PARAMUS NJ
07652-4251
US

V. Phone/Fax

Practice location:
  • Phone: 646-531-2932
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License Number
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: