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

Kenneth Miller, MDFACCFSCAI

Individual provider Internal Medicine Physician · NPI 1043212798

Kenneth Miller, MDFACCFSCAI is an Internal Medicine Physician in Montclair, New Jersey. Licensed in New Jersey. Registered with an NPI since 2005.

Licensed in
NJ
In the registry since
2005
Specialties on file
3
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Practice location Address checks out

62 S Fullerton Ave
Montclair, NJ 07042-2629
Phone: (973) 746-8585
Fax: (973) 746-0088
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 103421 (NJ)
Internal Medicine Physician Taxonomy 207R00000X · Licence 103421 (NJ)
Interventional Cardiology Physician Taxonomy 207RI0011X · Licence 103421 (NJ)

Record details

NPI number1043212798
Entity typeIndividual (Type 1)
GenderMale
Credentials MDFACCFSCAI
Sole proprietorNo
NPI enumeratedAugust 12, 2005
Last updated in NPPESJanuary 6, 2011

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