| James Nielsen, MD | |
|
4 Technology Dr, Suite 2, East Setauket, NY 11733-4080 | |
| (631) 444-0650 | |
| Not Available |
| Full Name | James Nielsen |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Pediatric Cardiology |
| Location | 4 Technology Dr, East Setauket, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669432266 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 213529 (New York) | Secondary |
| 2080P0202X | Pediatrics - Pediatric Cardiology | 213529-1 (New York) | Primary |
| Entity Name | Nyu Langone Hospitals |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790975944 PECOS PAC ID: 4981515699 Enrollment ID: O20050721000058 |
| Entity Name | New York University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285826438 PECOS PAC ID: 1355232422 Enrollment ID: O20090822000026 |
| Entity Name | Metropolitan Medical Practice Plan Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306138383 PECOS PAC ID: 8022286384 Enrollment ID: O20110713000171 |
| Entity Name | Physician Affiliate Group Of New York Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013375526 PECOS PAC ID: 4688098833 Enrollment ID: O20200721001270 |
| Mailing Address | Practice Location Address |
|---|---|
| James Nielsen, MD Po Box 1559, Stony Brook, NY 11790-0989 Ph: (631) 444-0650 | James Nielsen, MD 4 Technology Dr, Suite 2, East Setauket, NY 11733-4080 Ph: (631) 444-0650 |
Payal R Anand, Pediatrics Medicare: Medicare Enrolled Practice Location: 37 Research Way, East Setauket, NY 11733 Phone: 631-444-5437 | |
Dr. Saiqa Haque Nabi, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 4 Technology Dr Ste 250, East Setauket, NY 11733 Phone: 631-444-4601 | |
Dr. Stuart Marc Holzer, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4 Technology Dr, Suite 250, East Setauket, NY 11733 Phone: 631-444-4601 Fax: 631-444-4990 | |
Julie Cherian, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 37 Research Way, East Setauket, NY 11733 Phone: 631-444-4660 | |
Dr. Latha Chandran, M.D., M.P.H. Pediatrics Medicare: Medicare Enrolled Practice Location: 4 Technology Dr, East Setauket, NY 11733 Phone: 631-444-4601 | |
Dr. Shelly Beth Waldman, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4 Technology Dr, East Setauket, NY 11733 Phone: 631-444-0650 | |
Dr. Allison Heather Eliscu, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 37 Research Way, East Setauket, NY 11733 Phone: 631-444-4660 Fax: 631-444-4339 |