Individual provider Active NPI

Lucia J. Nixon, MD

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1194864785
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
165653 Issued in NY
Practice address
594 Albany Ave
Brooklyn, NY 11203-1706
Phone
(718) 245-7353
Fax
(718) 245-7469
NPI assigned
Feb 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 165653 NY Primary

Addresses

Primary practice location

594 Albany Ave
Brooklyn, NY 11203-1706

Mailing address

326 Vanderbilt Pkwy
Dix Hills, NY 11746-5856
Phone (917) 471-2381

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040423000508 NY Practitioner - Internal Medicine 9931195054 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
165653NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Schulman and Schachne Institute for Nursing and Rehabilitation Inc CurrentSince Jun 28, 2015 Accepting new patients
The Brookdale Hospital Medical Center CurrentSince May 3, 2022 Accepting new patients
Brookdale Hospital Medical Center CurrentSince May 3, 2022 Accepting new patients
The Schulman and Schachne Institute for Nursing and Rehabilitation Inc. CurrentSince Jun 28, 2015 Accepting new patients
The Schulman and Schachne Institute for Nursing and Rehabilitation Inc Past Accepting new patients

Locations

555 Rockaway Pkwy
Brooklyn, NY 11212
Phone (718) 240-5105

1235 Linden Blvd
Fl 2
Brooklyn, NY 11212
Phone (718) 240-7143

1 Brookdale Plz
Brooklyn, NY 11212
Phone (718) 240-5212

Organizations & group practices 5

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": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194864785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 VANDERBILT PKWY",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117465856",
            "telephone_number": "917-471-2381",
            "fax_number": "718-245-7469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "594 ALBANY AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112031706",
            "telephone_number": "718-245-7353",
            "fax_number": "718-245-7469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIXON",
        "first_name": "LUCIA",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "165653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.