Active NPI
Marcos Rafael Nieves, M.D.
- Psychiatry Physician
- Albany, NY
National Provider Identifier
1174777056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 153490
- Practice address
- 175 Green St
Albany, NY 12202-2011 - Phone
- (518) 447-4668
- Fax
- (518) 447-2063
- NPI assigned
- Nov 5, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 153490 | NY | Primary |
Addresses
Primary practice location
175 Green St
Albany, NY 12202-2011
Mailing address
175 Green St
Albany, NY 12202-2011
Phone (518) 447-4668
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 153490 | NY | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225843200000",
"number": "1174777056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 GREEN ST",
"city": "ALBANY",
"state": "NY",
"postal_code": "122022011",
"telephone_number": "518-447-4668",
"fax_number": "518-447-2063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 GREEN ST",
"city": "ALBANY",
"state": "NY",
"postal_code": "122022011",
"telephone_number": "518-447-4668",
"fax_number": "518-447-2063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIEVES",
"first_name": "MARCOS",
"middle_name": "RAFAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-11-05",
"last_updated": "2008-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "153490",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.