JOHN MILICI JR.
NPI 1356989495
Physician Assistant - Surgical in Nutley, NJ

Active since December 19, 2019PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: November 14, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Nov 14, 2022, Apr 11, 2022, Dec 19, 2019 (3 updates tracked since 2019).

About John Milici Jr. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN MILICI JR. (NPI 1356989495) is an individual surgical provider in Nutley, New Jersey, licensed in New Jersey (25MP00645900) and active in the NPI registry since December 2019. He is enrolled in Medicare PECOS, is affiliated with Hackensack Meridian Health, Mountainside Medical, and maintains a secondary practice location in Rutherford.

NPPES Registry Identity

NPI1356989495
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameJOHN MILICI JR.
Location Address229 HIGH STNutley, NJ 07110-1430
Mailing Address229 High StNutley, NJ 07110-1430 · (973) 900-3249
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateDecember 19, 2019
Last NPPES UpdateNovember 14, 20223 updates tracked since enumeration
NPPES CertifiedNovember 14, 2022
NPI 1356989495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in NJ · 25MP00645900
229 HIGH ST, Nutley, NJ 07110

Secondary Practice Location 1

Location 1201 State Rt 17 Fl 11Rutherford, NJ 07070-2557 · Phone (732) 390-7750

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

John Milici Jr. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8628461977
PECOS Enrollment IDI20220209000019
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hackensack Meridian Health, Mountainside Medical

Acute Care Hospitals · Montclair, NJ
2/5 CMS rating
OwnershipProprietary
CMS Certification Number310054
Location1 Bay AvenueMontclair, NJ 07042 · Essex County
Emergency services Birthing friendly

Bergen New Bridge Medical Center

Acute Care Hospitals · Paramus, NJ
OwnershipVoluntary non-profit - Private
CMS Certification Number310058
Location230 East Ridgewood AveParamus, NJ 07652 · Bergen County
Emergency services

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Milici's NPI number?

The NPI number for John Milici is 1356989495. It was assigned to this individual provider in the NPPES registry on December 19, 2019.

Where is John Milici located?

John Milici practices at 229 High St, Nutley, NJ 07110. The listed phone number is (973) 900-3249.

What is John Milici's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is John Milici enrolled in Medicare?

Yes. John Milici is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is John Milici affiliated with any hospitals?

According to CMS data, John Milici is affiliated with Hackensack Meridian Health, Mountainside Medical and Bergen New Bridge Medical Center.

When was this NPI record last updated?

The NPPES record for John Milici was last updated on November 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.