DYLAN MILLER PA-C
NPI 1386405405
Physician Assistant - Medical in Newark, NJ

Active since January 16, 2024PECOS EnrolledAccepts Medicare Assignment
111 CENTRAL AVE, NEWARK, NJ 07102(973) 877-5000 Get Directions Write a Review

NPPES record last updated: February 11, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Feb 11, 2025, Jul 21, 2024 (2 updates tracked since 2024).

About Dylan Miller Pa-c NPPES

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

DYLAN MILLER PA-C (NPI 1386405405) is an individual medical provider in Newark, New Jersey, licensed in New Jersey (25MP00860300) and active in the NPI registry since January 2024. He is enrolled in Medicare PECOS, is affiliated with Robert Wood Johnson University Hospital At Rahway, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1386405405
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameDYLAN MILLERCredential: PA-C
Location Address111 CENTRAL AVENewark, NJ 07102-1909
Mailing Address49 Lovel Ct Unit ANutley, NJ 07110-5381 · (702) 622-9635
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 16, 2024
Last NPPES UpdateFebruary 11, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 11, 2025
NPI 1386405405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in NJ · 25MP00860300
111 CENTRAL AVE, Newark, NJ 07102

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

Dylan Miller Pa-c 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 ID345788139
PECOS Enrollment IDI20240812001396
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

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

Robert Wood Johnson University Hospital At Rahway

Acute Care Hospitals · Rahway, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310024
Location865 Stone StRahway, NJ 07065 · Union County
Emergency services

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
111 CENTRAL AVE
NEWARK, NJ 07102
Registered Nurse
111 CENTRAL AVE
NEWARK, NJ 07102
Internal Medicine
111 CENTRAL AVE
NEWARK, NJ 07102
Emergency Medicine
111 CENTRAL AVE
NEWARK, NJ 07102
Specialist
111 CENTRAL AVE
NEWARK, NJ 07102
Emergency Medicine
111 CENTRAL AVE, EMERGENCY DEPARTMENT
NEWARK, NJ 07102
Student in an Organized Health Care Education/Training Program
111 CENTRAL AVE
NEWARK, NJ 07102
Student in an Organized Health Care Education/Training Program
111 CENTRAL AVE
NEWARK, NJ 07102

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 Dylan Miller's NPI number?

The NPI number for Dylan Miller is 1386405405. It was assigned to this individual provider in the NPPES registry on January 16, 2024.

Where is Dylan Miller located?

Dylan Miller practices at 111 Central Ave, Newark, NJ 07102. The listed phone number is (973) 877-5000.

What is Dylan Miller's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Dylan Miller enrolled in Medicare?

Yes. Dylan Miller 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 Dylan Miller affiliated with any hospitals?

According to CMS data, Dylan Miller is affiliated with Robert Wood Johnson University Hospital At Rahway.

When was this NPI record last updated?

The NPPES record for Dylan Miller was last updated on February 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.