Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

John Milici Jr.

Individual provider Surgical Physician Assistant · NPI 1356989495

John Milici Jr. is a Physician Assistant in Nutley, New Jersey. Qualified in 2021, 5 years ago. Practices with Premier Bariatric New Jersey PC, a 20-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
5
Licensed in
NJ
In the registry since
2019

Practice location Address checks out

229 High St
Nutley, NJ 07110-1430
Phone: (973) 900-3249
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 201 State Rt 17 Fl 11, Rutherford, NJ 07070-2557 — (732) 390-7750

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 25MP00645900 (NJ)

Record details

NPI number1356989495
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 19, 2019
Last updated in NPPESNovember 14, 2022
Certification dateNovember 14, 2022
Mailing address229 High St, Nutley, NJ 07110-1430

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Premier Bariatric New Jersey Pc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Nutley