Active NPI
James Edward Nininger, MD
- Psychiatry Physician
- Ny, NY
National Provider Identifier
1235298530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 124854
- Practice address
- 30 E 76 St
Ny, NY 10021 - Phone
- (212) 879-8338
- NPI assigned
- Dec 6, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 124854 | NY | Primary |
Addresses
Primary practice location
30 E 76 St
Ny, NY 10021
Mailing address
1136 Hunterbrook Rd
Yorktown Heights, NY 10598
Phone (914) 245-1586
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100827000609 | NY | Practitioner - Psychiatry | 4082738000 | Practice locations: New York, NY; Briarcliff Manor, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of Cincinnati College of Medicine, 1974
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
160 N State Rd
Briarcliff Manor, NY 10510-1403
Phone (212) 879-8338
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1235298530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1136 HUNTERBROOK RD",
"city": "YORKTOWN HEIGHTS",
"state": "NY",
"postal_code": "10598",
"telephone_number": "914-245-1586",
"fax_number": "914-741-6142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 E 76 ST",
"city": "NY",
"state": "NY",
"postal_code": "10021",
"telephone_number": "212-879-8338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NININGER",
"first_name": "JAMES",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "124854",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ny, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.