Provider Demographics
NPI:1477581957
Name:MILLER, HELENE ANNE (MD)
Entity Type:Individual
Prefix:MRS
First Name:HELENE
Middle Name:ANNE
Last Name:MILLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:17 ARCADIAN WAY STE 108
Mailing Address - Street 2:
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-1245
Mailing Address - Country:US
Mailing Address - Phone:201-977-2889
Mailing Address - Fax:201-977-2890
Practice Address - Street 1:351 EVELYN ST
Practice Address - Street 2:
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-2901
Practice Address - Country:US
Practice Address - Phone:201-977-2889
Practice Address - Fax:201-977-2890
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-30
Last Update Date:2018-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA0740062084P0800X
NMTM2013-07772084P0800X
NJ25MA074006002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM18677037Medicaid
NM18677037Medicaid
G83788Medicare UPIN