Provider Demographics
NPI:1043270382
Name:MILLS, ORLANDO F (MD)
Entity type:Individual
Prefix:DR
First Name:ORLANDO
Middle Name:F
Last Name:MILLS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 W MAIN ST STE 305B
Mailing Address - Street 2:
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-2537
Mailing Address - Country:US
Mailing Address - Phone:732-462-0100
Mailing Address - Fax:732-462-0348
Practice Address - Street 1:901 W MAIN ST STE 305B
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-2537
Practice Address - Country:US
Practice Address - Phone:732-462-0100
Practice Address - Fax:732-462-0348
Is Sole Proprietor?:No
Enumeration Date:2006-03-23
Last Update Date:2022-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA46993207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJP2847723OtherOXFORD
NJ202044950OtherPHCS
NJ1736195OtherUNITED HEALTHCARE
NJ8222461OtherGHI
NJ202044950OtherMULTIPLAN
NJ3311934OtherCIGNA
NJ5322461OtherAETNA
NJ1094106Medicaid
NJ202044950OtherHORIZON BC/BS
NJ1736195OtherUNITED HEALTHCARE
NJ1094106Medicaid