Active NPI
Maryam Nia, M.D.
- Anesthesiology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 4301084798
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301084798 | MI | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Ambulatory Anesthesia, LLC | Anesthesiology | Current | Accepting new patients |
| Gastroenterology Associates of New Jersey, LLC | Anesthesiology | Current | 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
- 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.
-
- Gastroenterology Physician
- Woodland Park, NJ
- NPI 1497932271
Anesthesiology
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.