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

Shana-Kay Miller

Individual provider Physician Assistant · NPI 1174009203

Shana-Kay Miller is a Physician Assistant in New York, New York. Qualified in 2018, 8 years ago. Works from 2 locations. Licensed in Connecticut and New York.

Years since qualifying
8
Licensed in
CT, NY
In the registry since
2018
Specialties on file
2

Practice location Address checks out

462 1st Ave
New York, NY 10016-9196
Phone: (212) 562-3917
Show map & directions

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

Additional practice locations (1)

  • 24 Hospital Ave, Danbury, CT 06810-6099 — (203) 739-4999

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (NY)
Physician Assistant Taxonomy 363A00000X · Licence 7092 (CT)

Record details

NPI number1174009203
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 11, 2018
Last updated in NPPESMay 5, 2026
Certification dateMay 5, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in New York