Individual provider Active NPI

Maryam Nia, M.D.

  • Anesthesiology Physician
  • New York, NY
National Provider Identifier
1053376483
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
4301084798 Issued in MI
Practice address
555 W 23Rd St
S12B
New York, NY 10011-1011
Phone
(646) 831-5063
Fax
(212) 951-3425
NPI assigned
Apr 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 4301084798 MI Primary

Addresses

Primary practice location

555 W 23Rd St
S12B
New York, NY 10011-1011

Mailing address

423 E 23Rd St
Department of Anesthesiology, 4TH Floor
New York, NY 10010-5011
Phone (212) 686-7500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241101000616 NJ Practitioner - Anesthesiology 8527591239 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301084798MIMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Ambulatory Anesthesia, LLC Anesthesiology CurrentSince Aug 23, 2024 Accepting new patients
Gastroenterology Associates of New Jersey, LLC Anesthesiology CurrentSince Jan 21, 2026 Accepting new patients

Locations

925 Clifton Ave
Clifton, NJ 07013
Phone (908) 722-9556

170 Prospect Ave
Ste 10
Hackensack, NJ 07601
Phone (201) 489-0030

80 Eisenhower Dr
Ste 100
Paramus, NJ 07652
Phone (201) 336-1100

80 Eisenhower Dr
Paramus, NJ 07652
Phone (201) 336-1100

525 Union Blvd
Totowa, NJ 07512
Phone (862) 229-0559

1176 Hamburg Tpke
Wayne, NJ 07470
Phone (973) 283-0002

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JJIGAA

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1053376483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 E 23RD ST",
            "address_2": "DEPARTMENT OF ANESTHESIOLOGY, 4TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100105011",
            "telephone_number": "212-686-7500",
            "fax_number": "212-951-3425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 W 23RD ST",
            "address_2": "S12B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100111011",
            "telephone_number": "646-831-5063",
            "fax_number": "212-951-3425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIA",
        "first_name": "MARYAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-19",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "4301084798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.