Individual provider Active NPI

Eric T Nielsen III, M.D.

  • Anesthesiology Physician
  • New York, NY
National Provider Identifier
1093946618
Registry record updated Mar 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
253850 Issued in NY
Practice address
227 E 56TH St RM 203
New York, NY 10022-3733
Phone
(646) 558-3613
Fax
(716) 242-1912
NPI assigned
Jul 30, 2009
Last updated
Mar 8, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2012

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 253850 NY Primary

Addresses

Primary practice location

227 E 56TH St RM 203
New York, NY 10022-3733

Mailing address

PO Box 158
New York, NY 10150-0158
Phone (646) 558-3613

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
East 57TH Medical Associates PLLC Anesthesiology Past Accepting new patients
Greenwich Medical Anesthesia, P.C. Anesthesiology Past Accepting new patients
Icahn School of Medicine at Mount Sinai Past Accepting new patients
Fpa Hospital Based Past Accepting new patients

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1248912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331164800000",
    "number": "1093946618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 158",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101500158",
            "telephone_number": "646-558-3613",
            "fax_number": "716-242-1912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 E 56TH ST RM 203",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100223733",
            "telephone_number": "646-558-3613",
            "fax_number": "716-242-1912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIELSEN",
        "first_name": "ERIC",
        "middle_name": "T",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-30",
        "last_updated": "2012-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "253850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.